Agazanof, Sean

Agazanof, Sean is an sole proprietor health care provider with primary practice located at 11301 W Olympic Blvd Number 434, Los Angeles CA 90064-1653. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Nuclear. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Agazanof, Sean can be contacted via phone (310) 445-1529.

Contact Information

Primary practice address
11301 W Olympic Blvd Number 434 Los Angeles CA 90064-1653
Phone: (310) 445-1529
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 64232 California
Pharmacy Service Providers / Nuclear 1835N0905X AU Indiana

Profile Details

NPI number 1356764989
LBN Legal business name Agazanof, Sean
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2014
Last updated Apr 1st, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356764989 NPPES
California Other 64232 PHARMACY LICENSE NUMBER

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