Provider Demographics
NPI:1831793785
Name:TROUTWINE, ARTHUR (PHARMD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:TROUTWINE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 N BARRON ST
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:OH
Mailing Address - Zip Code:45320-1016
Mailing Address - Country:US
Mailing Address - Phone:937-456-6255
Mailing Address - Fax:937-456-9945
Practice Address - Street 1:1300 N BARRON ST
Practice Address - Street 2:
Practice Address - City:EATON
Practice Address - State:OH
Practice Address - Zip Code:45320-1016
Practice Address - Country:US
Practice Address - Phone:937-456-6255
Practice Address - Fax:937-456-9945
Is Sole Proprietor?:No
Enumeration Date:2020-11-22
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03135849183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist