Individual provider · Type 1 NPI

Jaicy Varghese, RPH

Pharmacist · Philadelphia, PA

NPI number 1104143494 Active

Practice location

11750 Bustleton Ave, Rite Aid Pharmacy
Philadelphia, PA 19116

Call (215) 934-6221 Map

Mailing address

10610 Saint Thomas Dr
Philadelphia, PA 19116-3890

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XRP439830 (PA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104143494

Jaicy Varghese, RPH's National Provider Identifier is 1104143494, issued on Apr 26, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 26, 2010.