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Individual

AZNIV PASHOGLYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1600 S. MOUNTAIN AVE, DUARTE, CA 91010-2757
(626) 359-3938
(626) 359-2208
Mailing address
1600 S. MOUNTAIN AVE, DUARTE, CA 91010-2757

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55812
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
55812
LICENSE #
CA
Enumeration date
05/08/2018
Last updated
05/08/2018
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