Provider Demographics
NPI:1770674772
Name:JARNOT, DAVID RICHARD (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RICHARD
Last Name:JARNOT
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 MDG BLDG 121
Mailing Address - Street 2:ROOM GC45
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09601
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:31 MDG BLDG 121
Practice Address - Street 2:ROOM GC45
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09601
Practice Address - Country:US
Practice Address - Phone:509-247-3355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00067205183500000X
OH03-1-27448183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist