Provider Demographics
NPI:1912562893
Name:VARUGHESE, ANNE (RPH)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:VARUGHESE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-3032
Mailing Address - Country:US
Mailing Address - Phone:516-606-8856
Mailing Address - Fax:
Practice Address - Street 1:1727 W LIBERTY ST UNIT 2
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-5027
Practice Address - Country:US
Practice Address - Phone:610-351-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP453163183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist