Healthcare Provider Details

I. General information

NPI: 1932592425
Provider Name (Legal Business Name): AIDA ARROYO RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2015
Last Update Date: 03/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 FORREST ST
COALINGA CA
93210-1929
US

IV. Provider business mailing address

265 FORREST ST
COALINGA CA
93210-1929
US

V. Phone/Fax

Practice location:
  • Phone: 559-934-0461
  • Fax: 559-934-0467
Mailing address:
  • Phone: 559-934-0461
  • Fax: 559-934-0467

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH 66429
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: