Provider Demographics
NPI:1467478107
Name:VARIN, JASON A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:A
Last Name:VARIN
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 1:15720 OAK RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55346-1541
Mailing Address - Country:US
Mailing Address - Phone:952-975-3699
Mailing Address - Fax:
Practice Address - Street 1:7900 MARKET BLVD
Practice Address - Street 2:
Practice Address - City:CHANHASSEN
Practice Address - State:MN
Practice Address - Zip Code:55317-4565
Practice Address - Country:US
Practice Address - Phone:952-934-2865
Practice Address - Fax:952-934-5729
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN115481-6183500000X, 1835P1200X
MN1154811835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist