Provider Demographics
NPI:1275169096
Name:FITZCHARLES, AARON NELSON I (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:NELSON
Last Name:FITZCHARLES
Suffix:I
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 1:51184 SW REMBRANDT DR
Mailing Address - Street 2:
Mailing Address - City:SCAPPOOSE
Mailing Address - State:OR
Mailing Address - Zip Code:97056-4070
Mailing Address - Country:US
Mailing Address - Phone:971-225-8052
Mailing Address - Fax:
Practice Address - Street 1:RITE PHARMACY 835 S HWY 395
Practice Address - Street 2:
Practice Address - City:HERMISTON
Practice Address - State:OR
Practice Address - Zip Code:97838
Practice Address - Country:US
Practice Address - Phone:503-567-7805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0017738183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist