MEDICARE: NARINE SARGSYAN

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	RPH80264	CA

General Provider Information

NPI Number	:	1346827375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NARINE SARGSYAN

Provider Business Mailing Address
First Line	:	18607 VENTURA BLVD STE 109
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91356-4165
Country	:	US
Telephone Number	:	818-405-6187
Fax Number	:

Provider Business Practice Location Address
First Line	:	18607 VENTURA BLVD STE 109
Second Line	:
City	:	TARZANA
State	:	CA
Zip	:	91356-4165
Country	:	US
Telephone Number	:	818-405-6187
Fax Number	:	818-600-8974

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

Provider Enumeration Date	:	03/25/2021
Last Update Date	:	03/25/2021

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