Provider Demographics
NPI:1376826685
Name:PRIEST, AARON KYLE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:KYLE
Last Name:PRIEST
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 1:13824 HUNTLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212-3239
Mailing Address - Country:US
Mailing Address - Phone:501-350-9065
Mailing Address - Fax:
Practice Address - Street 1:14820 CANTRELL RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-4244
Practice Address - Country:US
Practice Address - Phone:501-868-6324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD09862183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist