Healthcare Provider Details

I. General information

NPI: 1033716220
Provider Name (Legal Business Name): ARAM HOVAKIMYAN PHARM D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2020
Last Update Date: 10/01/2020
Certification Date: 09/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 N SAN FERNANDO BLVD
BURBANK CA
91504-4390
US

IV. Provider business mailing address

1465 WESTERN AVE
GLENDALE CA
91201-1279
US

V. Phone/Fax

Practice location:
  • Phone: 818-841-0810
  • Fax:
Mailing address:
  • Phone: 818-321-0757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number83209
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: