Provider Demographics
NPI:1306097522
Name:ARTHURS, JEFFREY BOYD (RPH)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:BOYD
Last Name:ARTHURS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 W LARCH
Mailing Address - Street 2:PO BOX 681
Mailing Address - City:OSBURN
Mailing Address - State:ID
Mailing Address - Zip Code:83849
Mailing Address - Country:US
Mailing Address - Phone:208-659-7595
Mailing Address - Fax:208-783-2825
Practice Address - Street 1:583 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:SMELTERVILLE
Practice Address - State:ID
Practice Address - Zip Code:83868
Practice Address - Country:US
Practice Address - Phone:208-783-2739
Practice Address - Fax:208-783-2925
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP4834183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist