Healthcare Provider Details

I. General information

NPI: 1598338204
Provider Name (Legal Business Name): ADDISON CLARE ARNETT PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2021
Last Update Date: 07/20/2021
Certification Date: 07/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7860 RAEFORD RD
FAYETTEVILLE NC
28304-6018
US

IV. Provider business mailing address

583 CUTCHEN LN APT 102
FAYETTEVILLE NC
28314-1920
US

V. Phone/Fax

Practice location:
  • Phone: 910-826-3582
  • Fax:
Mailing address:
  • Phone: 704-773-2478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number30518
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: