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NPI Code Detail

MEDICARE: DR. KHATCHATUR SARAFIAN PHARM.D.

MEDICARE:  DR. KHATCHATUR  SARAFIAN  PHARM.D.
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
1183500000XPharmacist66338CA

General Provider Information

NPI Number : 1689950701
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KHATCHATUR SARAFIAN PHARM.D.
Provider Business Mailing Address
First Line : 6608 VAN NOORD AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-1104
Country : US
Telephone Number : 818-800-3233
Fax Number :
Provider Business Practice Location Address
First Line : 10989 VENTURA BLVD
Second Line :
City : STUDIO CITY
State : CA
Zip : 91604-3341
Country : US
Telephone Number : 818-980-1797
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2011
Last Update Date : 02/15/2012

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