Provider Demographics
NPI:1063794121
Name:BATMANIAN, SHAWNT ZOHRAB (PHARM D)
Entity type:Individual
Prefix:
First Name:SHAWNT
Middle Name:ZOHRAB
Last Name:BATMANIAN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7522 NESTLE AVE
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-3114
Mailing Address - Country:US
Mailing Address - Phone:818-468-7263
Mailing Address - Fax:
Practice Address - Street 1:7522 NESTLE AVE
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-3114
Practice Address - Country:US
Practice Address - Phone:818-468-7263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62336183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist