MEDICARE: ARNZEN SUPER DRUG, INC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1679037402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARNZEN SUPER DRUG, INC

Provider Business Mailing Address
First Line	:	PO BOX 429
Second Line	:
City	:	OROFINO
State	:	ID
Zip	:	83544-0429
Country	:	US
Telephone Number	:	208-476-3600
Fax Number	:	208-476-3616

Provider Business Practice Location Address
First Line	:	1105 MICHIGAN AVE
Second Line	:
City	:	OROFINO
State	:	ID
Zip	:	83544-9005
Country	:	US
Telephone Number	:	208-983-7410
Fax Number	:	802-935-2477

Authorized Official
Title or Position	:	MANAGER
Name	:	ROD F. ARNZEN
Credential	:	RPH
Telephone Number	:	208-476-3600

Provider Enumeration Date	:	01/25/2019
Last Update Date	:	12/12/2025

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Directions to “ARNZEN SUPER DRUG, INC ” Practice Location

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