Provider Demographics
NPI:1023770096
Name:ARSENYUK, SERGEY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SERGEY
Middle Name:
Last Name:ARSENYUK
Suffix:
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 1:850 ARROWCREEK PKWY UNIT 31513
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-5482
Mailing Address - Country:US
Mailing Address - Phone:916-500-3094
Mailing Address - Fax:
Practice Address - Street 1:2890 NORTHTOWNE LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-2178
Practice Address - Country:US
Practice Address - Phone:775-358-4238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV21100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV21100OtherPHARMACIST LICENSE