Healthcare Provider Details

I. General information

NPI: 1356601223
Provider Name (Legal Business Name): TALAR YEMENJIAN PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2012
Last Update Date: 05/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5280 N RICEWOOD AVE
FRESNO CA
93711-2716
US

IV. Provider business mailing address

5280 N RICEWOOD AVE
FRESNO CA
93711-2716
US

V. Phone/Fax

Practice location:
  • Phone: 818-519-2032
  • Fax:
Mailing address:
  • Phone: 818-519-2032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number58421
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: