Healthcare Provider Details

I. General information

NPI: 1144973280
Provider Name (Legal Business Name): AIKOUI OHANYAN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2022
Last Update Date: 01/29/2022
Certification Date: 01/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3943 SAN FERNANDO RD
GLENDALE CA
91204-2721
US

IV. Provider business mailing address

3943 SAN FERNANDO RD
GLENDALE CA
91204-2721
US

V. Phone/Fax

Practice location:
  • Phone: 818-549-2270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number80319
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: