Provider Demographics
NPI:1073061982
Name:EAMES, AARON (PHAMD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:EAMES
Suffix:
Gender:M
Credentials:PHAMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18680 S NOGALES HWY
Mailing Address - Street 2:
Mailing Address - City:GREEN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85614-5284
Mailing Address - Country:US
Mailing Address - Phone:520-625-3824
Mailing Address - Fax:
Practice Address - Street 1:18680 S NOGALES HWY
Practice Address - Street 2:
Practice Address - City:GREEN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85614-5284
Practice Address - Country:US
Practice Address - Phone:520-625-3824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS022133183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist