Provider Demographics
NPI:1184327702
Name:CASTRO, ARLENE BENEDICTO (PHARMD)
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:BENEDICTO
Last Name:CASTRO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 FRUITVALE BLVD UNIT 19
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-1154
Mailing Address - Country:US
Mailing Address - Phone:509-731-7070
Mailing Address - Fax:
Practice Address - Street 1:119 E 3RD AVE
Practice Address - Street 2:
Practice Address - City:SELAH
Practice Address - State:WA
Practice Address - Zip Code:98942-1498
Practice Address - Country:US
Practice Address - Phone:509-902-6062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61319466183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist