Provider Demographics
NPI:1790768539
Name:ARP INC
Entity Type:Organization
Organization Name:ARP INC
Other - Org Name:MEDICINE AND MORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:E
Authorized Official - Last Name:EVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, RPH
Authorized Official - Phone:937-547-1642
Mailing Address - Street 1:100 FORT JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-1012
Mailing Address - Country:US
Mailing Address - Phone:937-547-1642
Mailing Address - Fax:937-547-2292
Practice Address - Street 1:100 FORT JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-1012
Practice Address - Country:US
Practice Address - Phone:937-547-1642
Practice Address - Fax:937-547-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-25
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
OH02-0168050333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3636771OtherNCPDP NUMBER
OH0436380Medicaid
OH0204330001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER