Provider Demographics
NPI:1821681149
Name:ARNOLD, BARBARA CAROL
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:CAROL
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3291 BELMONT CT
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80549-3228
Mailing Address - Country:US
Mailing Address - Phone:970-631-3599
Mailing Address - Fax:
Practice Address - Street 1:3291 BELMONT CT
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80549-3228
Practice Address - Country:US
Practice Address - Phone:970-631-3599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10097899183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician