Provider Demographics
NPI:1447787213
Name:ARNOLD, THERESA CARVER (RPH)
Entity Type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:CARVER
Last Name:ARNOLD
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 1:500 THOMPSON DR
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-5144
Mailing Address - Country:US
Mailing Address - Phone:830-896-0256
Mailing Address - Fax:830-792-0667
Practice Address - Street 1:500 THOMPSON DR
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-5144
Practice Address - Country:US
Practice Address - Phone:830-896-0256
Practice Address - Fax:830-792-0667
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38957183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist