Healthcare Provider Details

I. General information

NPI: 1912409111
Provider Name (Legal Business Name): LARA AGOPIAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2018
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

866 W LANCASTER BLVD
LANCASTER CA
93534-2342
US

IV. Provider business mailing address

866 W LANCASTER BLVD
LANCASTER CA
93534-2376
US

V. Phone/Fax

Practice location:
  • Phone: 661-942-1461
  • Fax: 661-942-8986
Mailing address:
  • Phone: 818-284-5036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number77143
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: