Provider Demographics
NPI:1790674083
Name:VARGAS, ANDREW GILBERTO (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:GILBERTO
Last Name:VARGAS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4434 SHERATON DR
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-2842
Mailing Address - Country:US
Mailing Address - Phone:440-537-6493
Mailing Address - Fax:
Practice Address - Street 1:4434 SHERATON DR
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-2842
Practice Address - Country:US
Practice Address - Phone:440-537-6493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03440482183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist