Provider Demographics
NPI:1417232455
Name:PHILIPOSIAN, MIREILLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MIREILLE
Middle Name:
Last Name:PHILIPOSIAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-1813
Mailing Address - Country:US
Mailing Address - Phone:805-983-6344
Mailing Address - Fax:805-983-2090
Practice Address - Street 1:2001 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-1813
Practice Address - Country:US
Practice Address - Phone:805-983-6344
Practice Address - Fax:805-983-2090
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2022-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53866183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist