Healthcare Provider Details

I. General information

NPI: 1942356142
Provider Name (Legal Business Name): ARLENE LEE DOWNING-YACONELLI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4363 PACIFIC ST
ROCKLIN CA
95677-2117
US

IV. Provider business mailing address

341 PERAZUL CIR
SACRAMENTO CA
95835-2142
US

V. Phone/Fax

Practice location:
  • Phone: 916-632-9311
  • Fax:
Mailing address:
  • Phone: 916-515-0227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberRPH43178
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: