MEDICARE: DR. ARTHUR SAROUGHIAN PHARM.D, APH

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	10092	CA

General Provider Information

NPI Number	:	1679760359
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR SAROUGHIAN PHARM.D, APH

Provider Business Mailing Address
First Line	:	1403 N FAIR OAKS AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91103-1858
Country	:	US
Telephone Number	:	818-282-3483
Fax Number	:	626-639-6831

Provider Business Practice Location Address
First Line	:	1403 N FAIR OAKS AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91103-1858
Country	:	US
Telephone Number	:	818-282-3483
Fax Number	:	626-639-6831

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

Provider Enumeration Date	:	09/26/2007
Last Update Date	:	12/21/2021

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