Lilia Egegnuhi Aivazyan, PHARMD

Individual provider Active NPI Pharmacist · Panorama City, CA

NPI 1306351978 · NPPES record last updated Dec 5, 2017

Key facts

NPI
1306351978
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
76759 (CA)
Practice address
13652 Cantara St
Panorama City, CA 91402-5423
Phone
(818) 375-2000
NPI assigned
Dec 5, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 76759 CA Yes

Addresses

Primary practice location

13652 Cantara St
Panorama City, CA 91402-5423

Mailing address

13931 Cantlay St
Van Nuys, CA 91405-2513
Phone (808) 808-2853

Other providers in Panorama City, CA

All providers in Panorama City, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.