Provider Demographics
NPI:1861781486
Name:ARTHUR, GODFRIED (PHAMD)
Entity type:Individual
Prefix:
First Name:GODFRIED
Middle Name:
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:PHAMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1064
Mailing Address - Country:US
Mailing Address - Phone:302-376-7833
Mailing Address - Fax:302-379-1378
Practice Address - Street 1:1144 E FOUNDS ST
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:DE
Practice Address - Zip Code:19734-3000
Practice Address - Country:US
Practice Address - Phone:302-449-0755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0003820183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist