MEDICARE: GUNARS ARNITS RPH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	00009878	WA
2	183500000X	Pharmacist	RPH-0012263	OR

General Provider Information

NPI Number	:	1467865576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUNARS ARNITS RPH.

Provider Business Mailing Address
First Line	:	2403 E LYNNWOOD DR
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-5769
Country	:	US
Telephone Number	:	360-430-0669
Fax Number	:

Provider Business Practice Location Address
First Line	:	2403 E LYNNWOOD DR
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-5769
Country	:	US
Telephone Number	:	360-430-0669
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2014
Last Update Date	:	06/05/2014

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