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NPI Code Detail

MEDICARE: RENCY VARGHESE

MEDICARE: RENCY VARGHESE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist47601TX

General Provider Information

NPI Number : 1043540982
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENCY VARGHESE
Provider Business Mailing Address
First Line : 519 NADIA WAY
Second Line :
City : STAFFORD
State : TX
Zip : 77477-4593
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6768 HIGHWAY 6 S
Second Line :
City : HOUSTON
State : TX
Zip : 77083-1512
Country : US
Telephone Number : 281-530-9768
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2009
Last Update Date : 12/27/2009

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Directions to “ RENCY VARGHESE ” Practice Location

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