Provider Demographics
NPI:1477358240
Name:ARFARAS, RENAE THALIA (PHARMD)
Entity type:Individual
Prefix:
First Name:RENAE
Middle Name:THALIA
Last Name:ARFARAS
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:RENAE
Other - Middle Name:THALIA
Other - Last Name:PAVLATOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:182 TALSMAN DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-1282
Mailing Address - Country:US
Mailing Address - Phone:937-408-4085
Mailing Address - Fax:
Practice Address - Street 1:1419 BOARDMAN CANFIELD RD STE 340
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-8000
Practice Address - Country:US
Practice Address - Phone:330-505-1979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03438495183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist