Provider Demographics
NPI:1407030687
Name:SMITH, AIMEE KASTAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:KASTAN
Last Name:SMITH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:JOY
Other - Last Name:KASTAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1096 WALNUT ACRES DR
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-7105
Mailing Address - Country:US
Mailing Address - Phone:828-994-2140
Mailing Address - Fax:828-994-2101
Practice Address - Street 1:321 MULBERRY ST SW
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-5720
Practice Address - Country:US
Practice Address - Phone:828-757-5162
Practice Address - Fax:828-757-6172
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14404183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist