Provider Demographics
NPI:1417270059
Name:ARNEY, SHAWN D'WAYNE (RPH)
Entity Type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:D'WAYNE
Last Name:ARNEY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2205 SE 34TH AVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79103-1700
Mailing Address - Country:US
Mailing Address - Phone:806-373-1452
Mailing Address - Fax:806-373-1413
Practice Address - Street 1:2205 SE 34TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79103-1700
Practice Address - Country:US
Practice Address - Phone:806-373-1452
Practice Address - Fax:806-373-1413
Is Sole Proprietor?:No
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39943183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist