MEDICARE: DR. ARTHUR AVETISYAN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	75545	CA

General Provider Information

NPI Number	:	1154027357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR AVETISYAN PHARMD

Provider Business Mailing Address
First Line	:	501 WESTERN AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-2870
Country	:	US
Telephone Number	:	818-808-6855
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 WESTERN AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-2870
Country	:	US
Telephone Number	:	818-242-5887
Fax Number	:	818-507-6324

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2023
Last Update Date	:	12/17/2025

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