Provider Demographics
NPI:1033281951
Name:ARNOLD, DAVID V (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:V
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 977
Mailing Address - Street 2:
Mailing Address - City:KITTITAS
Mailing Address - State:WA
Mailing Address - Zip Code:98934-0977
Mailing Address - Country:US
Mailing Address - Phone:509-968-4122
Mailing Address - Fax:509-674-5622
Practice Address - Street 1:106 E. 1ST STREET
Practice Address - Street 2:
Practice Address - City:CLE ELUM
Practice Address - State:WA
Practice Address - Zip Code:98922
Practice Address - Country:US
Practice Address - Phone:509-674-2571
Practice Address - Fax:509-674-5622
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00021139183500000X
IDP5226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAPH00021139OtherSTATE LICENCE #