Provider Demographics
NPI:1801129077
Name:VARGHESE, BETSY (PHARMD)
Entity type:Individual
Prefix:
First Name:BETSY
Middle Name:
Last Name:VARGHESE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1099 LIBERTY CT
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-2795
Mailing Address - Country:US
Mailing Address - Phone:215-536-3814
Mailing Address - Fax:
Practice Address - Street 1:3835 DRYLAND WAY
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8208
Practice Address - Country:US
Practice Address - Phone:610-250-5281
Practice Address - Fax:610-250-5281
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-06
Last Update Date:2009-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP045550L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist