Provider Demographics
NPI:1942642475
Name:ARMBRUSTER, NATHAN EUGENE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:EUGENE
Last Name:ARMBRUSTER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2370 E LINCOLN HWY
Mailing Address - Street 2:T-2028
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-9533
Mailing Address - Country:US
Mailing Address - Phone:815-462-6011
Mailing Address - Fax:
Practice Address - Street 1:2370 E LINCOLN HWY
Practice Address - Street 2:T-2028
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-9533
Practice Address - Country:US
Practice Address - Phone:815-462-6011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051296685183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist