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NPI Code Detail

MEDICARE: MISS ANI HAGOP DERBOGHOSSIAN PHARMD

MEDICARE: MISS ANI HAGOP DERBOGHOSSIAN 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
1183500000XPharmacist66688CA

General Provider Information

NPI Number : 1346595634
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ANI HAGOP DERBOGHOSSIAN PHARMD
Provider Business Mailing Address
First Line : 1344 W CLINTON AVE
Second Line :
City : FRESNO
State : CA
Zip : 93705-3805
Country : US
Telephone Number : 559-264-8698
Fax Number :
Provider Business Practice Location Address
First Line : 1344 W CLINTON AVE
Second Line :
City : FRESNO
State : CA
Zip : 93705-3805
Country : US
Telephone Number : 559-264-8698
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2012
Last Update Date : 03/30/2016

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Directions to “ MISS ANI HAGOP DERBOGHOSSIAN PHARMD” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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