Provider Demographics
NPI:1245405802
Name:AIMI, WILLIAM DANTE (RPH)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DANTE
Last Name:AIMI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:WHITE RIVER JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05001-7028
Mailing Address - Country:US
Mailing Address - Phone:802-295-2501
Mailing Address - Fax:802-295-2012
Practice Address - Street 1:213 MAPLE ST
Practice Address - Street 2:
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05001-7028
Practice Address - Country:US
Practice Address - Phone:802-295-2501
Practice Address - Fax:802-295-2012
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT033-0002434183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0007043Medicaid