Provider Demographics
NPI:1548699911
Name:ARROYO, STEPHANIE (BS, PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:ARROYO
Suffix:
Gender:F
Credentials:BS, PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5222 COSUMNES DR APT 138
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95219-7213
Mailing Address - Country:US
Mailing Address - Phone:209-684-5001
Mailing Address - Fax:
Practice Address - Street 1:5222 COSUMNES DR APT 138
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95219-7213
Practice Address - Country:US
Practice Address - Phone:209-684-5001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69768183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist