Provider Demographics
NPI:1619323987
Name:KESHISHIAN, KARINA (PHARM D)
Entity Type:Individual
Prefix:
First Name:KARINA
Middle Name:
Last Name:KESHISHIAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1967 GLENCOE WAY
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1659
Mailing Address - Country:US
Mailing Address - Phone:818-648-4477
Mailing Address - Fax:818-446-2241
Practice Address - Street 1:8441 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:SUNLAND
Practice Address - State:CA
Practice Address - Zip Code:91040-2811
Practice Address - Country:US
Practice Address - Phone:818-925-1321
Practice Address - Fax:818-446-2241
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-05
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA458151835P1200X, 183500000X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy