Healthcare Provider Details

I. General information

NPI: 1447832357
Provider Name (Legal Business Name): ARMEN KARO FSTKCHIAN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 04/24/2021
Certification Date: 04/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24745 STEWART ST
LOMA LINDA CA
92350-1719
US

IV. Provider business mailing address

1271 E PENNSYLVANIA AVE
REDLANDS CA
92374-4707
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-7587
  • Fax:
Mailing address:
  • Phone: 818-212-8951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH82813
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: