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NPI Code Detail

MEDICARE: STELLA ROSE BAKMAJIAN SRB

MEDICARE: STELLA ROSE BAKMAJIAN SRB
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
1183500000XPharmacist61313CA

General Provider Information

NPI Number : 1689205023
Entity Type Code : Individual
Provider Name (Legal Business Name) : STELLA ROSE BAKMAJIAN SRB
Provider Business Mailing Address
First Line : 444 W GLENOAKS BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91202-2917
Country : US
Telephone Number : 818-552-3069
Fax Number :
Provider Business Practice Location Address
First Line : 444 W GLENOAKS BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91202-2917
Country : US
Telephone Number : 818-552-3069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2020
Last Update Date : 05/07/2026

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Directions to “ STELLA ROSE BAKMAJIAN SRB” Practice Location

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