Provider Demographics
NPI:1659821817
Name:ARNOLD, ALEAH MICHELLE (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALEAH
Middle Name:MICHELLE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:ALEAH
Other - Middle Name:MICHELLE
Other - Last Name:HAWTHORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:130 W LOUDON AVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40508-1412
Mailing Address - Country:US
Mailing Address - Phone:937-545-9131
Mailing Address - Fax:
Practice Address - Street 1:130 W LOUDON AVE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-1412
Practice Address - Country:US
Practice Address - Phone:937-545-9131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY018704183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist