MEDICARE: DR. KRISTIAN M KALASHIAN 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
1	183500000X	Pharmacist	47417	CA

General Provider Information

NPI Number	:	1528112927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTIAN M KALASHIAN PHARMD

Provider Business Mailing Address
First Line	:	2248 W BEECHWOOD AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-7128
Country	:	US
Telephone Number	:	559-287-8899
Fax Number	:

Provider Business Practice Location Address
First Line	:	2425 W SHAW AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3302
Country	:	US
Telephone Number	:	559-244-3700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/08/2007

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