Provider Demographics
NPI:1073058244
Name:VOHRA, VARUN (PHARMD)
Entity Type:Individual
Prefix:
First Name:VARUN
Middle Name:
Last Name:VOHRA
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 1:1385 HAZELTON BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L7P4V3
Mailing Address - Country:CA
Mailing Address - Phone:905-332-9459
Mailing Address - Fax:
Practice Address - Street 1:1350 HICKORY ST
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3224
Practice Address - Country:US
Practice Address - Phone:321-434-1791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS552511835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist