Provider Demographics
NPI:1932592425
Name:ARROYO, AIDA (RPH)
Entity Type:Individual
Prefix:
First Name:AIDA
Middle Name:
Last Name:ARROYO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 FORREST ST
Mailing Address - Street 2:
Mailing Address - City:COALINGA
Mailing Address - State:CA
Mailing Address - Zip Code:93210-1929
Mailing Address - Country:US
Mailing Address - Phone:559-934-0461
Mailing Address - Fax:559-934-0467
Practice Address - Street 1:265 FORREST ST
Practice Address - Street 2:
Practice Address - City:COALINGA
Practice Address - State:CA
Practice Address - Zip Code:93210-1929
Practice Address - Country:US
Practice Address - Phone:559-934-0461
Practice Address - Fax:559-934-0467
Is Sole Proprietor?:No
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 66429183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist