Provider Demographics
NPI:1962707992
Name:ARANT, JOHN AMOS (JOHN ARANT)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:AMOS
Last Name:ARANT
Suffix:
Gender:M
Credentials:JOHN ARANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1719 GLEN ECHO PL
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1568
Mailing Address - Country:US
Mailing Address - Phone:803-366-1902
Mailing Address - Fax:
Practice Address - Street 1:609 CHERRY RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3119
Practice Address - Country:US
Practice Address - Phone:803-327-4829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-23
Last Update Date:2011-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3575183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist