Provider Demographics
NPI:1417231309
Name:AKINS, AARON K (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:K
Last Name:AKINS
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 1:4110 S 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:ID
Mailing Address - Zip Code:83605-5706
Mailing Address - Country:US
Mailing Address - Phone:208-402-0154
Mailing Address - Fax:208-402-0160
Practice Address - Street 1:4110 S 10TH AVE
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:ID
Practice Address - Zip Code:83605-5706
Practice Address - Country:US
Practice Address - Phone:208-402-0154
Practice Address - Fax:208-402-0160
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP6174183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist