Provider Demographics
NPI:1558896761
Name:VARUGHESE, PREETHA (B PHARM)
Entity Type:Individual
Prefix:
First Name:PREETHA
Middle Name:
Last Name:VARUGHESE
Suffix:
Gender:F
Credentials:B PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4878 DAVIDSON RUN DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-3826
Mailing Address - Country:US
Mailing Address - Phone:614-876-5067
Mailing Address - Fax:
Practice Address - Street 1:5965 HOOVER RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-9702
Practice Address - Country:US
Practice Address - Phone:614-277-3405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03125994183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist