Individual provider · NPI-1

Dr. Ani Avetyan, PharmD

Pharmacist · Inglewood, CA

NPI number1568050656
StatusActive
Last updated in NPPESJan 5, 2021

Details

NPI
1568050656
Entity type
Individual (NPI-1)
Name
Dr. Ani Avetyan
Credential
PharmD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 5, 2021
Certification date
Jan 3, 2021
Last updated
Jan 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist83344CAYes

Practice location

222 N Market St
Inglewood, CA 90301-1217

Phone 818-224-9335

Mailing address

17144 Vose St
Lake Balboa, CA 91406-3630

Phone 818-224-9335

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