Provider Demographics
NPI:1164476552
Name:VARVAREZIS, ELIAS (RPH)
Entity Type:Individual
Prefix:
First Name:ELIAS
Middle Name:
Last Name:VARVAREZIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-2950
Mailing Address - Country:US
Mailing Address - Phone:610-630-6948
Mailing Address - Fax:
Practice Address - Street 1:323 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-4002
Practice Address - Country:US
Practice Address - Phone:215-886-6931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP042497L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist