Individual
ANDREW KHODAVERDIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1163 JUSTIN AVE APT 5, GLENDALE, CA 91201-1879
(818) 640-3098
Mailing address
1163 JUSTIN AVE APT 5, GLENDALE, CA 91201-1879
(818) 640-3098
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
67565
CA
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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