NPI 1003190877

Reena Elizabeth Varghese, RPH

Practitioner Pharmacist Racine, WI

Practice location

Address: 3825 Durand Ave, Racine, WI 53405-4424
Phone: (262) 554-8686
Fax: (262) 554-0744

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 14840 (WI)

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Registry record

NPI: 1003190877
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2011
Record last updated: 28 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.