Provider Demographics
NPI:1881258259
Name:ARBEED, JACK M (PHARMD)
Entity type:Individual
Prefix:
First Name:JACK
Middle Name:M
Last Name:ARBEED
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 1:75 FOLSOM ST APT 1105
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-6103
Mailing Address - Country:US
Mailing Address - Phone:650-430-3759
Mailing Address - Fax:
Practice Address - Street 1:880 SIR FRANCIS DRAKE BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANSELMO
Practice Address - State:CA
Practice Address - Zip Code:94960-1914
Practice Address - Country:US
Practice Address - Phone:415-456-9900
Practice Address - Fax:415-456-3953
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29037183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist