Healthcare Provider Details

I. General information

NPI: 1306172036
Provider Name (Legal Business Name): ERIC ARNOLD B.A, PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2009
Last Update Date: 10/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 SUNRISE AVE
ROSEVILLE CA
95661-4507
US

IV. Provider business mailing address

900 SUNRISE AVE
ROSEVILLE CA
95661-4507
US

V. Phone/Fax

Practice location:
  • Phone: 916-782-6242
  • Fax: 916-782-6858
Mailing address:
  • Phone: 916-782-6242
  • Fax: 916-782-6858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number59661
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: