Provider Demographics
NPI:1164150272
Name:AYRAPETYAN, TARON
Entity Type:Individual
Prefix:
First Name:TARON
Middle Name:
Last Name:AYRAPETYAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 SCARLET RIVER DR APT 11C
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-7547
Mailing Address - Country:US
Mailing Address - Phone:818-419-0509
Mailing Address - Fax:
Practice Address - Street 1:7501 SCARLET RIVER DR APT 11C
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-7547
Practice Address - Country:US
Practice Address - Phone:818-419-0509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86357183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist