Provider Demographics
NPI:1326462375
Name:ARENZ, GARY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:
Last Name:ARENZ
Suffix:
Gender:M
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 1:8426 98TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11421-1735
Mailing Address - Country:US
Mailing Address - Phone:718-578-8285
Mailing Address - Fax:
Practice Address - Street 1:1767 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-4801
Practice Address - Country:US
Practice Address - Phone:718-991-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-11
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA69244183500000X
NY0610610183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist