Provider Demographics
NPI:1841895257
Name:VARTAK, PEGGY ANN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PEGGY
Middle Name:ANN
Last Name:VARTAK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 GIRALDA AVE UNIT 3B
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-5012
Mailing Address - Country:US
Mailing Address - Phone:305-749-7000
Mailing Address - Fax:305-454-7000
Practice Address - Street 1:257 GIRALDA AVE UNIT 3B
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5012
Practice Address - Country:US
Practice Address - Phone:305-749-7000
Practice Address - Fax:305-454-7000
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS63635183500000X
LA023702183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist