Provider Demographics
NPI:1578893269
Name:MINTON, ARTHUR H (RPH)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:H
Last Name:MINTON
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 1:900 S FRANKLIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-2797
Mailing Address - Country:US
Mailing Address - Phone:919-556-2757
Mailing Address - Fax:919-556-2757
Practice Address - Street 1:900 S FRANKLIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-2797
Practice Address - Country:US
Practice Address - Phone:919-556-2757
Practice Address - Fax:919-556-2757
Is Sole Proprietor?:No
Enumeration Date:2010-01-04
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC07722183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist