Provider Demographics
NPI:1508236373
Name:MESSERIAN, RITA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:
Last Name:MESSERIAN
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 1:235 STURTEVANT DR
Mailing Address - Street 2:
Mailing Address - City:SIERRA MADRE
Mailing Address - State:CA
Mailing Address - Zip Code:91024-1301
Mailing Address - Country:US
Mailing Address - Phone:626-260-5536
Mailing Address - Fax:
Practice Address - Street 1:235 STURTEVANT DR
Practice Address - Street 2:
Practice Address - City:SIERRA MADRE
Practice Address - State:CA
Practice Address - Zip Code:91024-1301
Practice Address - Country:US
Practice Address - Phone:626-260-5536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 54381183500000X
NV16265183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist