Healthcare Provider Details

I. General information

NPI: 1306877238
Provider Name (Legal Business Name): ARNOLD ENTERPRISES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RT32, WILLIAMAVE
DAVIS WV
26260-0425
US

IV. Provider business mailing address

RT 32 , WILLIAM AVE. PO BOX 425
DAVIS WV
26260-0425
US

V. Phone/Fax

Practice location:
  • Phone: 304-259-5322
  • Fax:
Mailing address:
  • Phone: 304-259-5322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberSP0550671
License Number StateWV

VIII. Authorized Official

Name: JAMES S ARNOLD JR.
Title or Position: PRESIDENT
Credential: RPH
Phone: 304-259-5322