MEDICARE: MRS. ANAHIT ANI MANOUKIAN

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	87510	CA

General Provider Information

NPI Number	:	1891493490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANAHIT ANI MANOUKIAN

Provider Business Mailing Address
First Line	:	5503 CAHUENGA BLVD STE 100
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-2944
Country	:	US
Telephone Number	:	818-980-1445
Fax Number	:	818-980-1446

Provider Business Practice Location Address
First Line	:	5503 CAHUENGA BLVD STE 100
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-2944
Country	:	US
Telephone Number	:	818-980-1445
Fax Number	:

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

Provider Enumeration Date	:	02/22/2023
Last Update Date	:	02/22/2023

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