Provider Demographics
NPI:1649049198
Name:SARMANIAN, VALENTINA A
Entity type:Individual
Prefix:
First Name:VALENTINA
Middle Name:A
Last Name:SARMANIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CENTENNIAL DR
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-7911
Mailing Address - Country:US
Mailing Address - Phone:978-532-1600
Mailing Address - Fax:978-532-0111
Practice Address - Street 1:2 CENTENNIAL DR
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-7911
Practice Address - Country:US
Practice Address - Phone:978-532-1600
Practice Address - Fax:978-532-0111
Is Sole Proprietor?:No
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH238792183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist