Healthcare Provider Details

I. General information

NPI: 1952707093
Provider Name (Legal Business Name): RENE ARNOLD PHARM. D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2014
Last Update Date: 11/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 NOBLE ST SUITE 1-C
ANNISTON AL
36201-4643
US

IV. Provider business mailing address

1316 NOBLE ST SUITE 1-C
ANNISTON AL
36201-4643
US

V. Phone/Fax

Practice location:
  • Phone: 256-439-6393
  • Fax: 256-235-2751
Mailing address:
  • Phone: 256-439-6393
  • Fax: 256-235-2751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number15023
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: