Provider Demographics
NPI:1902910979
Name:KL ARNOLD ENTERPRISES INC
Entity Type:Organization
Organization Name:KL ARNOLD ENTERPRISES INC
Other - Org Name:WEST POINT FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:256-775-6085
Mailing Address - Street 1:1001 AVALON AVE
Mailing Address - Street 2:
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-2401
Mailing Address - Country:US
Mailing Address - Phone:256-775-6085
Mailing Address - Fax:256-736-5984
Practice Address - Street 1:11784 AL HIGHWAY 157
Practice Address - Street 2:
Practice Address - City:VINEMONT
Practice Address - State:AL
Practice Address - Zip Code:35179-9005
Practice Address - Country:US
Practice Address - Phone:256-775-6085
Practice Address - Fax:256-736-5984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336S0011X
AL1126123336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL3712Medicaid
1995434OtherPK