Provider Demographics
NPI:1851935159
Name:GEDJEYAN, HAIK HARRY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HAIK
Middle Name:HARRY
Last Name:GEDJEYAN
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 1:9009 WOODLEY AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-4134
Mailing Address - Country:US
Mailing Address - Phone:818-300-9363
Mailing Address - Fax:
Practice Address - Street 1:17705 SATICOY ST
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-3350
Practice Address - Country:US
Practice Address - Phone:818-975-8084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76616183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist