Provider Demographics
NPI:1275341364
Name:KAZARYAN, NOYEME (RPH)
Entity type:Individual
Prefix:
First Name:NOYEME
Middle Name:
Last Name:KAZARYAN
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 1:5790 E PARK CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-5416
Mailing Address - Country:US
Mailing Address - Phone:559-974-1843
Mailing Address - Fax:
Practice Address - Street 1:4727 W SHAW AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-6209
Practice Address - Country:US
Practice Address - Phone:559-277-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-21
Last Update Date:2024-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90136183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist