Provider Demographics
NPI:1427373554
Name:SARKISSIAN, RAFIK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RAFIK
Middle Name:
Last Name:SARKISSIAN
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 1:9422 VIA PATRICIA
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-1324
Mailing Address - Country:US
Mailing Address - Phone:818-653-2317
Mailing Address - Fax:
Practice Address - Street 1:9422 VIA PATRICIA
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-1324
Practice Address - Country:US
Practice Address - Phone:818-653-2317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH56006183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist