MEDICARE: ADAM ARNOLD PHARMD

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	2016001164	MO

General Provider Information

NPI Number	:	1497417620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM ARNOLD PHARMD

Provider Business Mailing Address
First Line	:	11560 OLIVE BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-7111
Country	:	US
Telephone Number	:	314-995-7128
Fax Number	:	314-995-7149

Provider Business Practice Location Address
First Line	:	11560 OLIVE BLVD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-7111
Country	:	US
Telephone Number	:	314-995-7128
Fax Number	:	314-995-7149

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

Provider Enumeration Date	:	10/05/2021
Last Update Date	:	10/05/2021

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Directions to “ ADAM ARNOLD PHARMD” Practice Location

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