MEDICARE: DR. ANA TANIELIAN 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	43752	CA

General Provider Information

NPI Number	:	1447668124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANA TANIELIAN PHARM D

Provider Business Mailing Address
First Line	:	7663 N BLACKSTONE AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-4306
Country	:	US
Telephone Number	:	559-446-0196
Fax Number	:

Provider Business Practice Location Address
First Line	:	7663 N BLACKSTONE AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93720-4306
Country	:	US
Telephone Number	:	559-446-0196
Fax Number	:

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

Provider Enumeration Date	:	07/25/2014
Last Update Date	:	07/25/2014

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Directions to “ DR. ANA TANIELIAN PHARM D” Practice Location

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