Healthcare Provider Details

I. General information

NPI: 1225574247
Provider Name (Legal Business Name): K & S CHAPMAN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2017
Last Update Date: 04/04/2022
Certification Date: 04/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8747 GLENOAKS BLVD
SUN VALLEY CA
91352-2802
US

IV. Provider business mailing address

8747 GLENOAKS BLVD
SUN VALLEY CA
91352-2802
US

V. Phone/Fax

Practice location:
  • Phone: 818-394-9645
  • Fax:
Mailing address:
  • Phone: 818-394-9645
  • Fax: 818-394-9621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number55298
License Number StateCA

VIII. Authorized Official

Name: DR. KAREN HOVAGIMYAN
Title or Position: PRESIDENT
Credential: PHARM.D
Phone: 818-394-9645