Provider Demographics
NPI:1598338204
Name:ARNETT, ADDISON CLARE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ADDISON
Middle Name:CLARE
Last Name:ARNETT
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:583 CUTCHEN LN APT 102
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-1920
Mailing Address - Country:US
Mailing Address - Phone:704-773-2478
Mailing Address - Fax:
Practice Address - Street 1:7860 RAEFORD RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-6018
Practice Address - Country:US
Practice Address - Phone:910-826-3582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30518183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist