Provider Demographics
NPI:1063101293
Name:SARKISIAN, MARIA (RPH)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:
Last Name:SARKISIAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17055 OAK VIEW DR
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-3243
Mailing Address - Country:US
Mailing Address - Phone:818-903-8833
Mailing Address - Fax:
Practice Address - Street 1:17055 OAK VIEW DR
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-3243
Practice Address - Country:US
Practice Address - Phone:818-903-8833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH42868183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARPH42868OtherPHARMACIST