Provider Demographics
NPI:1336477686
Name:BHANOT, VARUN K (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:VARUN
Middle Name:K
Last Name:BHANOT
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10391 SW 150TH CT
Mailing Address - Street 2:#10207
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3754
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10391 SW 150TH CT
Practice Address - Street 2:#10207
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-3754
Practice Address - Country:US
Practice Address - Phone:786-423-1983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-25
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47160183500000X
FLPS38049183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist