Provider Demographics
NPI:1023898988
Name:ARUTUNYAN, ANNA (PHARMD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:ARUTUNYAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9663 AMANITA AVE
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2912
Mailing Address - Country:US
Mailing Address - Phone:818-641-6748
Mailing Address - Fax:
Practice Address - Street 1:1122 E BROADWAY
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1316
Practice Address - Country:US
Practice Address - Phone:818-547-0170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-28
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA88496183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist