Provider Demographics
NPI:1235460544
Name:ARNOLD, AMELIA HALL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMELIA
Middle Name:HALL
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 COMMERCE DRIVE, SUITE 1
Mailing Address - Street 2:PO BOX 528
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04332
Mailing Address - Country:US
Mailing Address - Phone:207-621-0698
Mailing Address - Fax:207-622-3264
Practice Address - Street 1:16 COMMERCE DRIVE, SUITE 1
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04332
Practice Address - Country:US
Practice Address - Phone:207-621-0698
Practice Address - Fax:207-622-3264
Is Sole Proprietor?:No
Enumeration Date:2010-01-26
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR5879183500000X
PARP443685183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist