Provider Demographics
NPI:1073267688
Name:VARAHI INC
Entity Type:Organization
Organization Name:VARAHI INC
Other - Org Name:GERMANTOWN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SMITA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-891-0881
Mailing Address - Street 1:340 CALHOUN STATION PKWY STE D
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MS
Mailing Address - Zip Code:39046-7057
Mailing Address - Country:US
Mailing Address - Phone:601-891-0881
Mailing Address - Fax:601-891-0882
Practice Address - Street 1:340 CALHOUN STATION PKWY STE D
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MS
Practice Address - Zip Code:39046-7057
Practice Address - Country:US
Practice Address - Phone:601-891-0881
Practice Address - Fax:601-891-0882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-11
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy