Provider Demographics
NPI:1164164323
Name:MEYER, AARON DEAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:DEAN
Last Name:MEYER
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 1:9541 BRENTWOOD DR APT 114
Mailing Address - Street 2:
Mailing Address - City:LA VISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-8231
Mailing Address - Country:US
Mailing Address - Phone:402-669-1727
Mailing Address - Fax:
Practice Address - Street 1:2323 W BROADWAY
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51501-0100
Practice Address - Country:US
Practice Address - Phone:712-322-3111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA24393183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist