Provider Demographics
NPI:1508962507
Name:KIRKLAND, ARNOLD LARRY JR (R PH)
Entity Type:Individual
Prefix:MR
First Name:ARNOLD
Middle Name:LARRY
Last Name:KIRKLAND
Suffix:JR
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 CROSS CREEK LANE
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:AL
Mailing Address - Zip Code:35014
Mailing Address - Country:US
Mailing Address - Phone:256-249-9843
Mailing Address - Fax:
Practice Address - Street 1:33404 US HIGHWAY 280
Practice Address - Street 2:
Practice Address - City:CHILDERSBURG
Practice Address - State:AL
Practice Address - Zip Code:35044
Practice Address - Country:US
Practice Address - Phone:256-378-5727
Practice Address - Fax:256-378-3743
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11122183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist