Provider Demographics
NPI:1760066575
Name:HAROUTOUNIAN, HOVIG-ARAM DER (PHARMD)
Entity Type:Individual
Prefix:
First Name:HOVIG-ARAM
Middle Name:DER
Last Name:HAROUTOUNIAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14267 SEQUOIA RD
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91387-6225
Mailing Address - Country:US
Mailing Address - Phone:818-317-3468
Mailing Address - Fax:
Practice Address - Street 1:12100 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2514
Practice Address - Country:US
Practice Address - Phone:818-763-5562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-07
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA81932183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist