Healthcare Provider Details

I. General information

NPI: 1619009289
Provider Name (Legal Business Name): ARNHEIN TAYLOR CUMBEE RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 S LAFOUNTAIN ST
KOKOMO IN
46902-3803
US

IV. Provider business mailing address

539 JET STREAM BLVD
WESTFIELD IN
46074-9799
US

V. Phone/Fax

Practice location:
  • Phone: 765-453-8433
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26012489
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: