Provider Demographics
NPI:1164942108
Name:AIKEN, PETER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:AIKEN
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 1:14 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:BALLSTON SPA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-3631
Mailing Address - Country:US
Mailing Address - Phone:518-899-2002
Mailing Address - Fax:
Practice Address - Street 1:14 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:BALLSTON SPA
Practice Address - State:NY
Practice Address - Zip Code:12020-3631
Practice Address - Country:US
Practice Address - Phone:518-899-2002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062782-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist