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General NPI Number Information
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NPI Number | 1679037402
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Entity Type | Organization
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Legal Business Name | ARNZEN SUPER DRUG, INC
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1105 MICHIGAN AVE
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City | OROFINO
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State | ID
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Zip | 83544-9005
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Country | US
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Telephone | 208-983-7410
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Fax | 802-935-2477
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Provider Business Mailing Address
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Address Line | PO BOX 429
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City | OROFINO
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State | ID
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Zip | 83544-0429
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Country | US
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Telephone | 208-476-3600
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Fax | 208-476-3616
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Authorized Official
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Title or Position | MANAGER
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Name | ROD F. ARNZEN
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Credential | RPH
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Telephone | 208-476-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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