Provider Demographics
NPI:1386245140
Name:WEATHERINGTON, ARNIKA DIANE
Entity type:Individual
Prefix:
First Name:ARNIKA
Middle Name:DIANE
Last Name:WEATHERINGTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 SCHILLINGER RD S
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-8960
Mailing Address - Country:US
Mailing Address - Phone:251-776-6347
Mailing Address - Fax:
Practice Address - Street 1:370 SCHILLINGER RD S
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-8960
Practice Address - Country:US
Practice Address - Phone:251-776-6347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21666183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist