Provider Demographics
NPI:1760902431
Name:GOLIAN, KATRIN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:KATRIN
Middle Name:
Last Name:GOLIAN
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 1:9618 W PICO BLVD # 156
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-1279
Mailing Address - Country:US
Mailing Address - Phone:310-858-1855
Mailing Address - Fax:310-858-0488
Practice Address - Street 1:9618 W PICO BLVD # 156
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-1279
Practice Address - Country:US
Practice Address - Phone:310-858-1855
Practice Address - Fax:310-858-0488
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-23
Last Update Date:2017-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA63407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist