Provider Demographics
NPI:1699055632
Name:CHAUDHARI, VARSHA J
Entity type:Individual
Prefix:
First Name:VARSHA
Middle Name:J
Last Name:CHAUDHARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6416 CARLISLE PIKE STE 1900
Mailing Address - Street 2:T-2202
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2884
Mailing Address - Country:US
Mailing Address - Phone:717-796-5781
Mailing Address - Fax:
Practice Address - Street 1:6416 CARLISLE PIKE STE 1900
Practice Address - Street 2:T-2202
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-2884
Practice Address - Country:US
Practice Address - Phone:717-796-5781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-22
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.295194183500000X
PARP447248183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist