Lenna Mary Deragopian | San Francisco, CA • PECOS Search

Lenna Mary Deragopian

Pharmacist

Pharmacy Service Providers

521 Parnassus Ave, Room C-152, Box 0622, San Francisco, CA 94143-2206

(415) 353-9521 (925) 299-2914

PECOS Enrollment

Based on the most recent information from CMS, provider Lenna Mary Deragopian does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1689892382
Provider Type
Individual
Full Name
Deragopian, Lenna Mary
Title
Mrs.
Credential
PHARM.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/20/2007
Last Updated
1/26/2010

Contact Information

Practice Location

521 Parnassus Ave, Room C-152, Box 0622, San Francisco, CA 94143-2206

Unlisted Fax

Mailing Location

1165 Sierra Vista Way, Lafayette, CA 94549-3154

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License RPH 55879 California