Provider Demographics
NPI:1518143171
Name:VANARKEL, CRAIG FRANCIS (RPH)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:FRANCIS
Last Name:VANARKEL
Suffix:
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 1:493 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12209-1441
Mailing Address - Country:US
Mailing Address - Phone:518-472-1206
Mailing Address - Fax:518-598-0981
Practice Address - Street 1:493 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12209-1441
Practice Address - Country:US
Practice Address - Phone:518-472-1206
Practice Address - Fax:518-598-0981
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044733183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00985837Medicaid