Healthcare Provider Details

I. General information

NPI: 1598231276
Provider Name (Legal Business Name): KARINE HOVAGIMYAN RPH, PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2018
Last Update Date: 07/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E ALAMEDA AVE
BURBANK CA
91502-2004
US

IV. Provider business mailing address

915 E CYPRESS AVE
BURBANK CA
91501-1307
US

V. Phone/Fax

Practice location:
  • Phone: 818-370-9005
  • Fax:
Mailing address:
  • Phone: 818-370-9005
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number78112
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: