Provider Demographics
NPI:1326053000
Name:ARCE, ELLEN M (RPH)
Entity Type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:M
Last Name:ARCE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1517 MOOSE HILL RD
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2336
Mailing Address - Country:US
Mailing Address - Phone:203-453-1724
Mailing Address - Fax:
Practice Address - Street 1:1517 MOOSE HILL RD
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2336
Practice Address - Country:US
Practice Address - Phone:203-453-1724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist