Individual
MR. GARABET NERCESSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1127 E BROADWAY, GLENDALE, CA 91205-1315
(818) 246-7156
(818) 246-0558
Mailing address
1127 E BROADWAY, GLENDALE, CA 91205-1315
(818) 246-7156
(818) 246-0558
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY45305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA453050
—
CA
Enumeration date
08/29/2006
Last updated
04/26/2026
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