Provider Demographics
NPI:1447066626
Name:HARUTYUNYAN, ARMAN
Entity type:Individual
Prefix:DR
First Name:ARMAN
Middle Name:
Last Name:HARUTYUNYAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1665 CULVER AVE
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-5020
Mailing Address - Country:US
Mailing Address - Phone:248-464-4564
Mailing Address - Fax:
Practice Address - Street 1:4121 MONROE ST
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-2063
Practice Address - Country:US
Practice Address - Phone:419-475-4148
Practice Address - Fax:419-475-4163
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302416985183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty