Anahit Chlasyan, PHARMD
Individual provider Active NPI Pharmacist · Eagle Rock, CA
NPI 1669765392 · NPPES record last updated May 27, 2011
Key facts
- NPI
- 1669765392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- NY RPH 61211 (CA)
- Practice address
- 2626 Colorado Blvd
Target Pharmacy T1408
Eagle Rock, CA 90041-1070 - Phone
- (323) 258-5101
- NPI assigned
- May 27, 2011
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NY RPH 61211 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | NY RPH 61211 | CA | Yes |
Addresses
Primary practice location
2626 Colorado Blvd
Target Pharmacy T1408
Eagle Rock, CA 90041-1070
Mailing address
2626 Colorado Blvd
Target Pharmacy T1408
Eagle Rock, CA 90041-1070
Phone (323) 258-5101
Other providers in Eagle Rock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.