Provider Demographics
NPI:1407617624
Name:MERLA, ARTHUR
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:MERLA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ARTHUR
Other - Middle Name:
Other - Last Name:MERLA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARM D
Mailing Address - Street 1:20225 NE 34TH CT APT 2313
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-3307
Mailing Address - Country:US
Mailing Address - Phone:713-530-5865
Mailing Address - Fax:
Practice Address - Street 1:1825 NE 185TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-5035
Practice Address - Country:US
Practice Address - Phone:305-932-5740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS59343183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist