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NPI Code Detail

MEDICARE: AUSTIN ARNOLD PHARM.D

MEDICARE: AUSTIN ARNOLD PHARM.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051.297478IL

General Provider Information

NPI Number : 1164778072
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUSTIN ARNOLD PHARM.D
Provider Business Mailing Address
First Line : PO BOX 9727
Second Line :
City : PEORIA
State : IL
Zip : 61612-9727
Country : US
Telephone Number : 309-886-9172
Fax Number :
Provider Business Practice Location Address
First Line : 3525 N UNIVERSITY ST
Second Line :
City : PEORIA
State : IL
Zip : 61604-1324
Country : US
Telephone Number : 309-886-9172
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2012
Last Update Date : 03/20/2024

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