Provider Demographics
NPI:1508077371
Name:ARNOLD, SABRINA KENITHE (RPH)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:KENITHE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2927 ASHVILLE DR SW
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-2907
Mailing Address - Country:US
Mailing Address - Phone:256-350-4027
Mailing Address - Fax:
Practice Address - Street 1:2721 ALABAMA HWY 20
Practice Address - Street 2:
Practice Address - City:TOWN CREEK
Practice Address - State:AL
Practice Address - Zip Code:35672
Practice Address - Country:US
Practice Address - Phone:256-685-3530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10990183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist