Provider Demographics
NPI:1063516425
Name:ARLINGTON AQUISITION I, INC.
Entity type:Organization
Organization Name:ARLINGTON AQUISITION I, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:J
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WUEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-828-8216
Mailing Address - Street 1:6630 S MCCARRAN BLVD
Mailing Address - Street 2:#14
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6135
Mailing Address - Country:US
Mailing Address - Phone:775-828-8200
Mailing Address - Fax:775-828-8299
Practice Address - Street 1:6630 S MCCARRAN BLVD
Practice Address - Street 2:#14
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6135
Practice Address - Country:US
Practice Address - Phone:775-828-8200
Practice Address - Fax:775-828-8299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPH010463336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5079840001Medicare ID - Type Unspecified