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NPI Code Detail

MEDICARE: DR. ARET PURUT PHARMD

MEDICARE:  DR. ARET  PURUT  PHARMD
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
1183500000XPharmacist60009CA

General Provider Information

NPI Number : 1952910606
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARET PURUT PHARMD
Provider Business Mailing Address
First Line : 1441 BRUCE AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91202-1412
Country : US
Telephone Number : 818-645-9063
Fax Number :
Provider Business Practice Location Address
First Line : 101 E ALAMEDA AVE
Second Line :
City : BURBANK
State : CA
Zip : 91502-2004
Country : US
Telephone Number : 818-563-2724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2020
Last Update Date : 07/29/2020

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Directions to “ DR. ARET PURUT PHARMD” Practice Location

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