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NPI Code Detail

MEDICARE: BRIAN J ARNOLD PHARM.D.

MEDICARE:   BRIAN J 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
1183500000XPharmacist117980MN

General Provider Information

NPI Number : 1568754745
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN J ARNOLD PHARM.D.
Provider Business Mailing Address
First Line : 4934 200TH ST N
Second Line :
City : FOREST LAKE
State : MN
Zip : 55025-8062
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4934 200TH ST N
Second Line :
City : FOREST LAKE
State : MN
Zip : 55025-8062
Country : US
Telephone Number : 651-982-1125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2011
Last Update Date : 05/06/2011

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Directions to “ BRIAN J ARNOLD PHARM.D.” Practice Location

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