Provider Demographics
NPI:1912385774
Name:ARENA DISTRICT PHARMACY
Entity Type:Organization
Organization Name:ARENA DISTRICT PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:BUCHTA
Authorized Official - Suffix:SR
Authorized Official - Credentials:RPH
Authorized Official - Phone:614-569-4799
Mailing Address - Street 1:262 NEIL AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-7309
Mailing Address - Country:US
Mailing Address - Phone:614-569-4799
Mailing Address - Fax:614-847-0960
Practice Address - Street 1:262 NEIL AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-7309
Practice Address - Country:US
Practice Address - Phone:614-569-4799
Practice Address - Fax:614-847-0960
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL OHIO COMPOUNDING PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-13
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy