Provider Demographics
NPI:1639448764
Name:ARRINGTON, JOSEPH NATHAN (RPH)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:NATHAN
Last Name:ARRINGTON
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 1:4940 S ELLIS AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-2708
Mailing Address - Country:US
Mailing Address - Phone:773-548-7019
Mailing Address - Fax:
Practice Address - Street 1:7544 S STONY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-3926
Practice Address - Country:US
Practice Address - Phone:773-667-6959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-028988183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist