Individual
ALEN KHODAGULYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 W CENTRAL AVE, LOMPOC, CA 93436-2829
(805) 735-3343
Mailing address
701 W CENTRAL AVE, LOMPOC, CA 93436-2829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
75013
CA
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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