Provider Demographics
NPI:1033492368
Name:AKMAL, ARASH (PHARMD)
Entity Type:Individual
Prefix:
First Name:ARASH
Middle Name:
Last Name:AKMAL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3452 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1154
Mailing Address - Country:US
Mailing Address - Phone:310-463-7326
Mailing Address - Fax:
Practice Address - Street 1:3452 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1154
Practice Address - Country:US
Practice Address - Phone:310-463-7326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60763183500000X
CAPHY509313336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6728340001Medicare NSC