Provider Demographics
NPI:1417115874
Name:HARIRCHIAN, MINA (PHARM D)
Entity Type:Individual
Prefix:
First Name:MINA
Middle Name:
Last Name:HARIRCHIAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 ROUTE 100
Mailing Address - Street 2:
Mailing Address - City:SOMERS
Mailing Address - State:NY
Mailing Address - Zip Code:10589-3227
Mailing Address - Country:US
Mailing Address - Phone:914-669-8289
Mailing Address - Fax:
Practice Address - Street 1:325 ROUTE 100
Practice Address - Street 2:
Practice Address - City:SOMERS
Practice Address - State:NY
Practice Address - Zip Code:10589-3227
Practice Address - Country:US
Practice Address - Phone:914-669-8289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-01
Last Update Date:2008-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050353-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist