Provider Demographics
NPI:1144502121
Name:ARWADE, TINA (PHARM D)
Entity type:Individual
Prefix:DR
First Name:TINA
Middle Name:
Last Name:ARWADE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 SAN PEDRO RD
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-2528
Mailing Address - Country:US
Mailing Address - Phone:650-756-3412
Mailing Address - Fax:650-756-2074
Practice Address - Street 1:22 SAN PEDRO RD
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-2528
Practice Address - Country:US
Practice Address - Phone:650-756-3412
Practice Address - Fax:650-756-2074
Is Sole Proprietor?:No
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40174183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist