Provider Demographics
NPI:1306877238
Name:ARNOLD ENTERPRISES, INC
Entity type:Organization
Organization Name:ARNOLD ENTERPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:S
Authorized Official - Last Name:ARNOLD JR.
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:304-259-5322
Mailing Address - Street 1:RT 32 , WILLIAM AVE.
Mailing Address - Street 2:PO BOX 425
Mailing Address - City:DAVIS
Mailing Address - State:WV
Mailing Address - Zip Code:26260-0425
Mailing Address - Country:US
Mailing Address - Phone:304-259-5322
Mailing Address - Fax:
Practice Address - Street 1:RT32, WILLIAMAVE
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:WV
Practice Address - Zip Code:26260-0425
Practice Address - Country:US
Practice Address - Phone:304-259-5322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSP0550671183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AA2017603OtherCONTROLLED SUB. REGISTRA.
WV0142373000Medicaid