Provider Demographics
NPI:1326562554
Name:LADNER, AARON MARK (PHARMD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:MARK
Last Name:LADNER
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 1:5710 MCFARLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35476-3539
Mailing Address - Country:US
Mailing Address - Phone:205-333-7873
Mailing Address - Fax:205-333-7801
Practice Address - Street 1:5710 MCFARLAND BLVD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-3539
Practice Address - Country:US
Practice Address - Phone:205-333-7873
Practice Address - Fax:205-333-7801
Is Sole Proprietor?:No
Enumeration Date:2017-07-30
Last Update Date:2017-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16781183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist