Provider Demographics
NPI:1376683631
Name:ROSS CAMERON ARNOLD
Entity Type:Organization
Organization Name:ROSS CAMERON ARNOLD
Other - Org Name:CARMEL DRUG STORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:CAMERON
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-624-3819
Mailing Address - Street 1:PO BOX 1550
Mailing Address - Street 2:OCEAN & SAN CARLOS
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93921-1550
Mailing Address - Country:US
Mailing Address - Phone:831-624-3819
Mailing Address - Fax:831-626-3819
Practice Address - Street 1:OCEAN AVE & SAN CARLOS
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93921-1550
Practice Address - Country:US
Practice Address - Phone:831-624-3819
Practice Address - Fax:831-626-3819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46337333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy