Provider Demographics
NPI:1063796316
Name:GHARAKHANIAN, MEGHEDI (PHARM D)
Entity type:Individual
Prefix:DR
First Name:MEGHEDI
Middle Name:
Last Name:GHARAKHANIAN
Suffix:
Gender:F
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 1:3001 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-2714
Mailing Address - Country:US
Mailing Address - Phone:818-541-7840
Mailing Address - Fax:818-541-7846
Practice Address - Street 1:3001 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-2714
Practice Address - Country:US
Practice Address - Phone:818-571-7840
Practice Address - Fax:818-541-7846
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64393183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist