Provider Demographics
NPI:1194333872
Name:VARA, MEERA (RPH)
Entity type:Individual
Prefix:MRS
First Name:MEERA
Middle Name:
Last Name:VARA
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 OPTIMIST CT
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-3289
Mailing Address - Country:US
Mailing Address - Phone:248-892-6770
Mailing Address - Fax:
Practice Address - Street 1:6300 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-9120
Practice Address - Country:US
Practice Address - Phone:734-728-4030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302412474183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist