Provider Demographics
NPI:1255671020
Name:SPEAK, AARON JUSTIN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:JUSTIN
Last Name:SPEAK
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 1:8651 PRESTON HWY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40219-5305
Mailing Address - Country:US
Mailing Address - Phone:502-969-1309
Mailing Address - Fax:502-969-7266
Practice Address - Street 1:8651 PRESTON HWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40219-5305
Practice Address - Country:US
Practice Address - Phone:502-969-1309
Practice Address - Fax:502-969-7266
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY014948183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist