Individual
LILI GINOSYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
17864 VENTURA BLVD, ENCINO, CA 91316-3615
(818) 345-5456
Mailing address
4239 WHISPERING PINES CT, ENCINO, CA 91316-4459
(818) 609-9021
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
53257
CA
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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