PROF. Astine Petrosyan IV, PHAMD

NPI #1104113166 in Canoga Park, California

Provider Information

NPI Number: 1104113166
Entity Type: Individual
Name: PROF. Astine Petrosyan IV, PHAMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHAMD
Enumeration Date: Jun 28, 2011
Last Updated: Jun 28, 2011

Practice Location

Address: 6700 TOPANGA CANYON BLVD
Address 2: T2143
City: Canoga Park
State: California
ZIP Code: 91303-2624
Phone: (818) 383-6166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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