Provider Demographics
NPI:1295029551
Name:ASLAM, AEMAD A (RPH, MBA)
Entity Type:Individual
Prefix:
First Name:AEMAD
Middle Name:A
Last Name:ASLAM
Suffix:
Gender:M
Credentials:RPH, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 54011
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-4011
Mailing Address - Country:US
Mailing Address - Phone:469-235-4515
Mailing Address - Fax:
Practice Address - Street 1:501 BROOKHOLLOW DR
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-3951
Practice Address - Country:US
Practice Address - Phone:817-812-3523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-04
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35866183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist