Provider Demographics
NPI:1255627550
Name:HARBOYAN, AURORE (PHARMD)
Entity type:Individual
Prefix:MS
First Name:AURORE
Middle Name:
Last Name:HARBOYAN
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 1:1601 KINGSDALE AVE
Mailing Address - Street 2:T-1980
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-3928
Mailing Address - Country:US
Mailing Address - Phone:310-750-0004
Mailing Address - Fax:310-750-0004
Practice Address - Street 1:1601 KINGSDALE AVE
Practice Address - Street 2:T-1980
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-3928
Practice Address - Country:US
Practice Address - Phone:310-750-0004
Practice Address - Fax:310-750-0004
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57625183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist