Provider Demographics
NPI:1558160564
Name:ARNOLD, JUDY (RPH)
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 S US HIGHWAY 1 APT M1-101
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-7254
Mailing Address - Country:US
Mailing Address - Phone:561-596-7975
Mailing Address - Fax:
Practice Address - Street 1:1605 S US HIGHWAY 1 APT M1-101
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-7254
Practice Address - Country:US
Practice Address - Phone:561-596-7975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH22230183500000X
IN26014496A183500000X
FLPS18303183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist