MEDICARE: MRS. RENE ARNOLD PHARM. D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	15023	AL

General Provider Information

NPI Number	:	1952707093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RENE ARNOLD PHARM. D

Provider Business Mailing Address
First Line	:	1316 NOBLE ST
Second Line	:	SUITE 1-C
City	:	ANNISTON
State	:	AL
Zip	:	36201-4643
Country	:	US
Telephone Number	:	256-439-6393
Fax Number	:	256-235-2751

Provider Business Practice Location Address
First Line	:	1316 NOBLE ST
Second Line	:	SUITE 1-C
City	:	ANNISTON
State	:	AL
Zip	:	36201-4643
Country	:	US
Telephone Number	:	256-439-6393
Fax Number	:	256-235-2751

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2014
Last Update Date	:	11/18/2014

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