Provider Demographics
NPI:1124503446
Name:MERCADO, ARTURO DAVID (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ARTURO
Middle Name:DAVID
Last Name:MERCADO
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 1:1954 DURFEE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-3711
Mailing Address - Country:US
Mailing Address - Phone:626-350-5705
Mailing Address - Fax:626-279-1689
Practice Address - Street 1:1954 DURFEE AVE
Practice Address - Street 2:
Practice Address - City:SOUTH EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-3711
Practice Address - Country:US
Practice Address - Phone:626-350-5705
Practice Address - Fax:626-279-1689
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54682183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist