Provider Demographics
NPI:1861600827
Name:VARELA, MARIE (PHARM D, BCPS)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:
Last Name:VARELA
Suffix:
Gender:F
Credentials:PHARM D, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 TERRYVILLE RD
Mailing Address - Street 2:APT 11E
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-1300
Mailing Address - Country:US
Mailing Address - Phone:631-444-8037
Mailing Address - Fax:
Practice Address - Street 1:STONY BROOK UNIVERSITY HOSPITAL
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-7007
Practice Address - Country:US
Practice Address - Phone:631-444-8037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0317111835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy