Provider Demographics
NPI:1528357977
Name:POOLE ARNOLD, CHERYL (RPH)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:POOLE ARNOLD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:C
Other - Last Name:POOLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:3050 CREST HAVEN DRIVE
Mailing Address - Street 2:
Mailing Address - City:DALZELL
Mailing Address - State:SC
Mailing Address - Zip Code:29040
Mailing Address - Country:US
Mailing Address - Phone:864-764-0187
Mailing Address - Fax:
Practice Address - Street 1:3050 CREST HAVEN DR
Practice Address - Street 2:
Practice Address - City:DALZELL
Practice Address - State:SC
Practice Address - Zip Code:29040-8944
Practice Address - Country:US
Practice Address - Phone:864-764-0187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9548183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist