Provider Demographics
NPI:1245699867
Name:ASARCH, STAN ROBERT (PHARMD)
Entity type:Individual
Prefix:DR
First Name:STAN
Middle Name:ROBERT
Last Name:ASARCH
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 1:27123 HIGHLANDS LN
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91354-2100
Mailing Address - Country:US
Mailing Address - Phone:661-367-6039
Mailing Address - Fax:
Practice Address - Street 1:27123 HIGHLANDS LN
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91354-2100
Practice Address - Country:US
Practice Address - Phone:661-367-6039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-11
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA320871835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist