Provider Demographics
NPI:1205886397
Name:VAN ARSDALE, ROBERT WILLIAM SR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WILLIAM
Last Name:VAN ARSDALE
Suffix:SR
Gender:M
Credentials:PHARMD
Other - Prefix:
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Mailing Address - Street 1:800 HOSPITAL DR
Mailing Address - Street 2:PHARMACY SERVICE
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-5275
Mailing Address - Country:US
Mailing Address - Phone:573-814-6531
Mailing Address - Fax:573-814-6533
Practice Address - Street 1:800 HOSPITAL DR
Practice Address - Street 2:PHARMACY SERVICE
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-5275
Practice Address - Country:US
Practice Address - Phone:573-814-6531
Practice Address - Fax:573-814-6533
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO044599183500000X
MI5302410953183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist