Provider Demographics
NPI:1740813039
Name:SARKISSIAN, ARUTYUN (PHARMD)
Entity type:Individual
Prefix:
First Name:ARUTYUN
Middle Name:
Last Name:SARKISSIAN
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 1:4915 TYRONE AVE APT 332
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-1139
Mailing Address - Country:US
Mailing Address - Phone:818-268-7283
Mailing Address - Fax:
Practice Address - Street 1:4849 VAN NUYS BLVD STE 101A
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-2181
Practice Address - Country:US
Practice Address - Phone:818-461-9600
Practice Address - Fax:818-461-9339
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-15
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79276183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist