Provider Demographics
NPI:1245377001
Name:ARNOLD, GREGORY THOMAS (RPH)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:THOMAS
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-7176
Mailing Address - Country:US
Mailing Address - Phone:717-272-0339
Mailing Address - Fax:717-270-1364
Practice Address - Street 1:705 LEHMAN ST # 707
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17046-4747
Practice Address - Country:US
Practice Address - Phone:717-272-6951
Practice Address - Fax:717-270-1364
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP026595L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist