Provider Demographics
NPI:1588009864
Name:AGOPIAN, CARINE JACOB (PHARMD)
Entity Type:Individual
Prefix:
First Name:CARINE
Middle Name:JACOB
Last Name:AGOPIAN
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 1:1135 LINDERO CANYON RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-5473
Mailing Address - Country:US
Mailing Address - Phone:818-597-1370
Mailing Address - Fax:
Practice Address - Street 1:618 MICHILLINDA AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-6342
Practice Address - Country:US
Practice Address - Phone:626-821-7732
Practice Address - Fax:626-821-2584
Is Sole Proprietor?:No
Enumeration Date:2013-05-01
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57171183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist