Provider Demographics
NPI:1285122424
Name:ARTHUR, JEREMY FRANKLIN (PHARM D)
Entity type:Individual
Prefix:
First Name:JEREMY
Middle Name:FRANKLIN
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5919 MAHOOD DR APT 6
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25705-2253
Mailing Address - Country:US
Mailing Address - Phone:304-561-4898
Mailing Address - Fax:
Practice Address - Street 1:125 7TH AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-1923
Practice Address - Country:US
Practice Address - Phone:304-697-2151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0010177183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist