Provider Demographics
NPI:1306216189
Name:ZAREEI, GENDA ANITA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:GENDA
Middle Name:ANITA
Last Name:ZAREEI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 50033
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89435-0033
Mailing Address - Country:US
Mailing Address - Phone:510-358-1870
Mailing Address - Fax:
Practice Address - Street 1:10370 N MCCARRAN BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-6848
Practice Address - Country:US
Practice Address - Phone:775-746-4809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7837183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist