Provider Demographics
NPI:1841598901
Name:VARUGHESE, CHERIAN (RPH)
Entity Type:Individual
Prefix:
First Name:CHERIAN
Middle Name:
Last Name:VARUGHESE
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 1:15 GLENCOE DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-2061
Mailing Address - Country:US
Mailing Address - Phone:302-453-7451
Mailing Address - Fax:
Practice Address - Street 1:400 PEOPLES PLZ
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-4797
Practice Address - Country:US
Practice Address - Phone:302-834-0532
Practice Address - Fax:302-834-1329
Is Sole Proprietor?:No
Enumeration Date:2011-03-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0002751183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist