Provider Demographics
NPI:1740502673
Name:ARAK, IRENE MARGARET (RPH)
Entity type:Individual
Prefix:MS
First Name:IRENE
Middle Name:MARGARET
Last Name:ARAK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 TULIP LN
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-4039
Mailing Address - Country:US
Mailing Address - Phone:908-601-5799
Mailing Address - Fax:
Practice Address - Street 1:1700 MADISON AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-1253
Practice Address - Country:US
Practice Address - Phone:732-363-9245
Practice Address - Fax:732-370-8024
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02572700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist