Provider Demographics
NPI:1508126848
Name:ARZUMANIAN, NINA (PHARMACIST)
Entity Type:Individual
Prefix:MRS
First Name:NINA
Middle Name:
Last Name:ARZUMANIAN
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1139 HOLLY LN
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-3012
Mailing Address - Country:US
Mailing Address - Phone:219-614-1032
Mailing Address - Fax:
Practice Address - Street 1:8930 CALUMET AVE
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2802
Practice Address - Country:US
Practice Address - Phone:219-513-0891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26016128A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist