Provider Demographics
NPI:1407391410
Name:ARCARO, SYLVESTER
Entity type:Individual
Prefix:
First Name:SYLVESTER
Middle Name:
Last Name:ARCARO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 VIA CLAVEL
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-3737
Mailing Address - Country:US
Mailing Address - Phone:760-218-7269
Mailing Address - Fax:401-652-1258
Practice Address - Street 1:2305 VIA CLAVEL
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-3737
Practice Address - Country:US
Practice Address - Phone:760-218-7269
Practice Address - Fax:401-652-1258
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02267300183500000X
FLPS47239183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist