Provider Demographics
NPI:1841955721
Name:PAPAZIAN, RAFFI (PHARMD)
Entity type:Individual
Prefix:
First Name:RAFFI
Middle Name:
Last Name:PAPAZIAN
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 1:801 S CHEVY CHASE DR STE 111
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-4435
Mailing Address - Country:US
Mailing Address - Phone:818-502-9097
Mailing Address - Fax:818-502-9750
Practice Address - Street 1:801 S CHEVY CHASE DR STE 111
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4435
Practice Address - Country:US
Practice Address - Phone:818-502-9097
Practice Address - Fax:818-502-9750
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-04
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55608183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist