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NPI Code Detail

MEDICARE: ALLA AVETISYAN-ANDRANIKYAN PHARMD

MEDICARE:   ALLA  AVETISYAN-ANDRANIKYAN  PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist77904CA

General Provider Information

NPI Number : 1215427653
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLA AVETISYAN-ANDRANIKYAN PHARMD
Provider Business Mailing Address
First Line : 7124 COLDWATER CYN AVE APT 3
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-7300
Country : US
Telephone Number : 818-497-2047
Fax Number :
Provider Business Practice Location Address
First Line : 7124 COLDWATER CANYON AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91605-7300
Country : US
Telephone Number : 818-764-7465
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2018
Last Update Date : 05/10/2018

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Directions to “ ALLA AVETISYAN-ANDRANIKYAN PHARMD” Practice Location

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