MEDICARE: NATHAN R VARLEY PHARM.D., R.P.H.

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	183500000X	Pharmacist	RP00006476	NM

General Provider Information

NPI Number	:	1598978025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHAN R VARLEY PHARM.D., R.P.H.

Provider Business Mailing Address
First Line	:	4101 INDIAN SCHOOL RD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-3988
Country	:	US
Telephone Number	:	505-232-1733
Fax Number	:	505-262-7615

Provider Business Practice Location Address
First Line	:	4101 INDIAN SCHOOL RD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-3988
Country	:	US
Telephone Number	:	505-232-1733
Fax Number	:	505-262-7615

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	07/17/2007

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