Provider Demographics
NPI:1790362903
Name:OROUDJIAN, NRANE (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:NRANE
Middle Name:
Last Name:OROUDJIAN
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-1216
Mailing Address - Country:US
Mailing Address - Phone:818-641-8909
Mailing Address - Fax:
Practice Address - Street 1:1510 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-1216
Practice Address - Country:US
Practice Address - Phone:818-641-8909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83250183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist