Provider Demographics
NPI:1023393626
Name:ARTH, JAMES DAVID (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DAVID
Last Name:ARTH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:803 E GREEN MEADOWS RD APT 103
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-3724
Mailing Address - Country:US
Mailing Address - Phone:417-372-2841
Mailing Address - Fax:
Practice Address - Street 1:2002 MISSOURI BLVD
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109-4717
Practice Address - Country:US
Practice Address - Phone:573-636-7924
Practice Address - Fax:573-634-6046
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011020687183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2011020687OtherMISSOURI BOARD OF PHARMACY