Provider Demographics
NPI:1043856586
Name:ARNOLD, JULIE ELAINE
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ELAINE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 N INDIANA ST
Mailing Address - Street 2:
Mailing Address - City:ROACHDALE
Mailing Address - State:IN
Mailing Address - Zip Code:46172-9100
Mailing Address - Country:US
Mailing Address - Phone:317-407-1672
Mailing Address - Fax:
Practice Address - Street 1:785 E MAIN ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IN
Practice Address - Zip Code:46122-1941
Practice Address - Country:US
Practice Address - Phone:317-745-8027
Practice Address - Fax:317-745-8028
Is Sole Proprietor?:No
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26019897A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist