Provider Demographics
NPI:1003121559
Name:ARNOLD, JAMES STEWART JR (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:STEWART
Last Name:ARNOLD
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 SEVENTH STREET
Mailing Address - Street 2:PO BOX 472
Mailing Address - City:DAVIS
Mailing Address - State:WV
Mailing Address - Zip Code:26260
Mailing Address - Country:US
Mailing Address - Phone:304-259-5583
Mailing Address - Fax:
Practice Address - Street 1:206 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:BELINGTON
Practice Address - State:WV
Practice Address - Zip Code:26250-9319
Practice Address - Country:US
Practice Address - Phone:304-823-1198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0002734183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist