Provider Demographics
NPI:1184398083
Name:OBRIEN, ARLENE (RPH)
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:OBRIEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1607 STONY RUN DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3542
Mailing Address - Country:US
Mailing Address - Phone:484-707-3517
Mailing Address - Fax:
Practice Address - Street 1:263 QUIGLEY BLVD STE 1B
Practice Address - Street 2:
Practice Address - City:HISTORIC NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-8126
Practice Address - Country:US
Practice Address - Phone:302-356-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-00026571835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric