Basic Information
Provider Information
NPI: 1902005267
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARNDT
FirstName: ROBERT
MiddleName: RAYMOND
NamePrefix: DR.
NameSuffix:  
Credential: PHARMD.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 240 S MAIN ST
Address2:  
City: WOLFEBORO
State: NH
PostalCode: 038944411
CountryCode: US
TelephoneNumber: 6035697521
FaxNumber: 6035697509
Practice Location
Address1: 240 S MAIN ST
Address2:  
City: WOLFEBORO
State: NH
PostalCode: 038944411
CountryCode: US
TelephoneNumber: 6035697521
FaxNumber: 6035697509
Other Information
ProviderEnumerationDate: 07/16/2007
LastUpdateDate: 07/16/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X2834NHY Pharmacy Service ProvidersPharmacist 

No ID Information.


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