Healthcare Provider Details

I. General information

NPI: 1669523031
Provider Name (Legal Business Name): BEVERLEE B ARNOLD RPH, CGP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 WESTBROOK AVE
RICHMOND VA
23227-3337
US

IV. Provider business mailing address

1600 WESTBROOK AVE
RICHMOND VA
23227-3337
US

V. Phone/Fax

Practice location:
  • Phone: 804-264-6294
  • Fax: 804-264-6125
Mailing address:
  • Phone: 804-264-6294
  • Fax: 804-264-6125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number0202006586
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: