Provider Demographics
NPI:1518375310
Name:METU, ARTHUR (RPH)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:
Last Name:METU
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 1:7011 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AMERICAN CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:94503-1169
Mailing Address - Country:US
Mailing Address - Phone:707-557-4195
Mailing Address - Fax:707-557-4286
Practice Address - Street 1:7011 MAIN ST
Practice Address - Street 2:
Practice Address - City:AMERICAN CANYON
Practice Address - State:CA
Practice Address - Zip Code:94503-1169
Practice Address - Country:US
Practice Address - Phone:707-557-4195
Practice Address - Fax:707-557-4286
Is Sole Proprietor?:No
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46993183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist