Provider Demographics
NPI:1871357624
Name:VARTANIAN, VAHRAM W (PHARMD)
Entity type:Individual
Prefix:DR
First Name:VAHRAM
Middle Name:W
Last Name:VARTANIAN
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 1:6253 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2723
Mailing Address - Country:US
Mailing Address - Phone:818-236-2500
Mailing Address - Fax:818-236-2504
Practice Address - Street 1:6253 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2723
Practice Address - Country:US
Practice Address - Phone:818-236-2500
Practice Address - Fax:818-236-2504
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH700501835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist