MEDICARE: VARSHA PHARMACY INC

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
1	3336C0003X	Community/Retail Pharmacy	0370771	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053471839
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VARSHA PHARMACY INC

Provider Business Mailing Address
First Line	:	239 BOYLE RD
Second Line	:
City	:	SELDEN
State	:	NY
Zip	:	11784-1955
Country	:	US
Telephone Number	:	631-698-5444
Fax Number	:

Provider Business Practice Location Address
First Line	:	239 BOYLE RD
Second Line	:
City	:	SELDEN
State	:	NY
Zip	:	11784-1955
Country	:	US
Telephone Number	:	631-698-5444
Fax Number	:

Authorized Official
Title or Position	:	PIC
Name	:	KETANKUMAR G PATEL
Credential	:
Telephone Number	:	423-331-0650

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	10/27/2023

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