Provider Demographics
NPI:1447832357
Name:FSTKCHIAN, ARMEN KARO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ARMEN
Middle Name:KARO
Last Name:FSTKCHIAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1271 E PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-4707
Mailing Address - Country:US
Mailing Address - Phone:818-212-8951
Mailing Address - Fax:
Practice Address - Street 1:24745 STEWART ST
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92350-1719
Practice Address - Country:US
Practice Address - Phone:909-558-7587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-21
Last Update Date:2021-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH82813183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist