Provider Demographics
NPI:1417243650
Name:VARAHIMA LLC
Entity Type:Organization
Organization Name:VARAHIMA LLC
Other - Org Name:LEHIGH DRUG STORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:UMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-274-5428
Mailing Address - Street 1:540 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18102-2802
Mailing Address - Country:US
Mailing Address - Phone:484-223-0261
Mailing Address - Fax:484-223-0263
Practice Address - Street 1:540 N 7TH ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-2802
Practice Address - Country:US
Practice Address - Phone:484-223-0261
Practice Address - Fax:484-223-0263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-27
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP4821393336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3995618OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PA7096360001Medicare NSC