Individual
MASIS OHANESYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4900 ELK GROVE BLVD, ELK GROVE, CA 95758-4188
(916) 683-0700
Mailing address
9204 DELAIR WAY, ELK GROVE, CA 95758-4535
(818) 334-7492
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
88583
CA
333600000X
Pharmacy
Primary
88583
CA
Other
Enumeration date
10/23/2023
Last updated
11/20/2024
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