Provider Demographics
NPI:1063796860
Name:ARWOOD, MICHAEL (RPH)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:ARWOOD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:
Other - Last Name:ARWOOD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:1601 SPRING DR
Mailing Address - Street 2:UNIT 4
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-1379
Mailing Address - Country:US
Mailing Address - Phone:812-760-2451
Mailing Address - Fax:
Practice Address - Street 1:1601 SPRING DR
Practice Address - Street 2:UNIT 4
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-1379
Practice Address - Country:US
Practice Address - Phone:812-760-2451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY014459183500000X
IN26015892A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist