Provider Demographics
NPI:1194271676
Name:ARENA, MATTHEW A JR (PHARMD)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:A
Last Name:ARENA
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 RIVERMONT DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15207-1347
Mailing Address - Country:US
Mailing Address - Phone:412-422-6080
Mailing Address - Fax:412-422-6771
Practice Address - Street 1:955 RIVERMONT DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15207-1347
Practice Address - Country:US
Practice Address - Phone:412-422-6080
Practice Address - Fax:412-422-6771
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444449183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist