Provider Demographics
NPI:1659011021
Name:KHATOON, ZAINAB (PHARMD)
Entity Type:Individual
Prefix:
First Name:ZAINAB
Middle Name:
Last Name:KHATOON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ZAINAB
Other - Middle Name:
Other - Last Name:SANDOZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11471 HASTINGS ST NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449-4447
Mailing Address - Country:US
Mailing Address - Phone:763-339-6674
Mailing Address - Fax:
Practice Address - Street 1:8450 UNIVERSITY AVE NE
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-1172
Practice Address - Country:US
Practice Address - Phone:763-780-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN125069183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist