Healthcare Provider Details
I. General information
NPI: 1821012824
Provider Name (Legal Business Name): JONATHAN ARROYO PHARM.D., R.PH
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 GORDONS CORNER RD
MANALAPAN NJ
07726-3146
US
IV. Provider business mailing address
95 ASPEN LN
FREEHOLD NJ
07728-4133
US
V. Phone/Fax
- Phone: 732-617-8002
- Fax:
- Phone: 732-668-1018
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | 28RI02940900 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: