Provider Demographics
NPI:1255603791
Name:ARAKELIAN, TALIN TALIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TALIN
Middle Name:TALIN
Last Name:ARAKELIAN
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 1:1101 N PACIFIC AVE
Mailing Address - Street 2:101
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-3250
Mailing Address - Country:US
Mailing Address - Phone:818-548-1330
Mailing Address - Fax:818-548-3590
Practice Address - Street 1:1101 N PACIFIC AVE
Practice Address - Street 2:101
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-3250
Practice Address - Country:US
Practice Address - Phone:818-548-1330
Practice Address - Fax:818-548-3590
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0972190001Medicare UPIN