MEDICARE: MR. TOMIK GRIGORIAN PHARM.D.

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	64875	CA

General Provider Information

NPI Number	:	1437080876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TOMIK GRIGORIAN PHARM.D.

Provider Business Mailing Address
First Line	:	1808 VERDUGO BLVD STE 111
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91208-1449
Country	:	US
Telephone Number	:	818-952-2223
Fax Number	:	818-952-4760

Provider Business Practice Location Address
First Line	:	1808 VERDUGO BLVD STE 111
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91208-1449
Country	:	US
Telephone Number	:	818-952-2223
Fax Number	:	818-952-4760

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

Provider Enumeration Date	:	05/26/2026
Last Update Date	:	05/26/2026

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