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Individual

DR. CHACKO VARGHESE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
4351 W SAMPLE RD, COCONUT CREEK, FL 33073-3478
(954) 978-4979
(954) 978-7351
Mailing address
8187 NW 107TH TER, PARKLAND, FL 33076-4765
(954) 346-9730

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS26370
FL

Other

Enumeration date
02/28/2006
Last updated
07/08/2007
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