Provider Demographics
NPI:1225032139
Name:ARLINGTON PRESCRIPTION PHARMACY, INC.
Entity type:Organization
Organization Name:ARLINGTON PRESCRIPTION PHARMACY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:AUSTIN
Authorized Official - Last Name:HEERES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:951-688-5232
Mailing Address - Street 1:8990 GARFIELD ST
Mailing Address - Street 2:STE 12
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-3922
Mailing Address - Country:US
Mailing Address - Phone:951-688-5232
Mailing Address - Fax:951-688-6927
Practice Address - Street 1:8990 GARFIELD ST
Practice Address - Street 2:STE 12
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3922
Practice Address - Country:US
Practice Address - Phone:951-688-5232
Practice Address - Fax:951-688-6927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23090183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA344150Medicaid
CAPHA344150Medicaid