Provider Demographics
NPI:1104192350
Name:ARNETT, JAMES B (RPH)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:ARNETT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:JIM
Other - Middle Name:
Other - Last Name:ARNETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:3911 TAYLORSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-1414
Mailing Address - Country:US
Mailing Address - Phone:502-454-4668
Mailing Address - Fax:502-451-4859
Practice Address - Street 1:3911 TAYLORSVILLE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-1414
Practice Address - Country:US
Practice Address - Phone:502-454-4668
Practice Address - Fax:502-451-4859
Is Sole Proprietor?:No
Enumeration Date:2012-03-31
Last Update Date:2012-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY010401183500000X
IN26020513A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist