Individual
MR. GEORGE VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1708 PUCKETTS DR SW, LILBURN, GA 30047-5617
(404) 421-2500
Mailing address
18 HAMPTON AVE, YONKERS, NY 10710-3110
(404) 421-2500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
052403-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052403-1
PHARMACIST
NY
Enumeration date
12/20/2011
Last updated
12/20/2011
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