Provider Demographics
NPI:1841547668
Name:HARUTYUNYAN, HAYK (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HAYK
Middle Name:
Last Name:HARUTYUNYAN
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 1:1319 E HARVARD ST APT 305
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1430
Mailing Address - Country:US
Mailing Address - Phone:818-642-4295
Mailing Address - Fax:
Practice Address - Street 1:1319 E HARVARD ST APT 305
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1430
Practice Address - Country:US
Practice Address - Phone:818-642-4295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA674381835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist