Provider Demographics
NPI:1497987739
Name:MIKAELIAN, ARPY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ARPY
Middle Name:
Last Name:MIKAELIAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ARPIE
Other - Middle Name:
Other - Last Name:MIKAELIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:510 CAMERON CREST DR
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765-2120
Mailing Address - Country:US
Mailing Address - Phone:909-860-2586
Mailing Address - Fax:
Practice Address - Street 1:9400 ROSECRANS AVE
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-2246
Practice Address - Country:US
Practice Address - Phone:562-461-6064
Practice Address - Fax:562-461-6748
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2009-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62955183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist