Healthcare Provider Details

I. General information

NPI: 1437080876
Provider Name (Legal Business Name): TOMIK GRIGORIAN PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1808 VERDUGO BLVD STE 111
GLENDALE CA
91208-1449
US

IV. Provider business mailing address

1808 VERDUGO BLVD STE 111
GLENDALE CA
91208-1449
US

V. Phone/Fax

Practice location:
  • Phone: 818-952-2223
  • Fax: 818-952-4760
Mailing address:
  • Phone: 818-952-2223
  • Fax: 818-952-4760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number64875
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: