Healthcare Provider Details

I. General information

NPI: 1225032139
Provider Name (Legal Business Name): ARLINGTON PRESCRIPTION PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8990 GARFIELD ST STE 12
RIVERSIDE CA
92503-3922
US

IV. Provider business mailing address

8990 GARFIELD ST STE 12
RIVERSIDE CA
92503-3922
US

V. Phone/Fax

Practice location:
  • Phone: 951-688-5232
  • Fax: 951-688-6927
Mailing address:
  • Phone: 951-688-5232
  • Fax: 951-688-6927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23090
License Number StateCA

VIII. Authorized Official

Name: DR. WILLIAM AUSTIN HEERES
Title or Position: PHARMACIST IN CHARGE
Credential: PHARM D.
Phone: 951-688-5232