Basic Information
Provider Information
NPI: 1699018754
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARKIN
FirstName: CLAUDINE
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4605 31ST ROAD S
Address2: APT C1
City: ARLINGTON
State: VA
PostalCode: 22206
CountryCode: US
TelephoneNumber: 5719704787
FaxNumber:  
Practice Location
Address1: 700 SECOND ST NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 20002
CountryCode: US
TelephoneNumber: 2023463000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/27/2013
LastUpdateDate: 03/27/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000XPH100001059DCY Pharmacy Service ProvidersPharmacist 

No ID Information.


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