Provider Demographics
NPI:1356601223
Name:YEMENJIAN, TALAR (PHARM D)
Entity type:Individual
Prefix:DR
First Name:TALAR
Middle Name:
Last Name:YEMENJIAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5280 N RICEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-2716
Mailing Address - Country:US
Mailing Address - Phone:818-519-2032
Mailing Address - Fax:
Practice Address - Street 1:5280 N RICEWOOD AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-2716
Practice Address - Country:US
Practice Address - Phone:818-519-2032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-24
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58421183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist