Individual
BELLA GRIGORYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
4914 1/2 W SLAUSON AVE, LOS ANGELES, CA 90056-1639
(323) 348-4205
(323) 348-4213
Mailing address
4914 1/2 W SLAUSON AVE, LOS ANGELES, CA 90056-1639
(323) 348-4205
(323) 348-4213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
66635
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-1018093
—
CA
Enumeration date
10/24/2022
Last updated
10/24/2022
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