Healthcare Provider Details

I. General information

NPI: 1902910979
Provider Name (Legal Business Name): KL ARNOLD ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11784 AL HIGHWAY 157
VINEMONT AL
35179-9005
US

IV. Provider business mailing address

1001 AVALON AVE
MUSCLE SHOALS AL
35661-2401
US

V. Phone/Fax

Practice location:
  • Phone: 256-775-6085
  • Fax: 256-736-5984
Mailing address:
  • Phone: 256-775-6085
  • Fax: 256-736-5984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number112612
License Number StateAL

VIII. Authorized Official

Name: KEVIN ARNOLD
Title or Position: OWNER
Credential: PHARMD
Phone: 256-775-6085