Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sergey Dmitriyevich Kustov, PHARMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720690290

Sergey Dmitriyevich Kustov, PHARMD is a Student in an Organized Health Care Education/Training Program in Tujunga, California. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

10905 Deliban St
Tujunga, CA 91042-1451
Phone: (323) 352-4440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1720690290
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedAugust 17, 2020
Last updated in NPPESAugust 17, 2020
Certification dateAugust 17, 2020
Mailing address10905 Deliban St, Tujunga, CA 91042-1451

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