Provider Demographics
NPI:1437746575
Name:CARL W ARON
Entity Type:Organization
Organization Name:CARL W ARON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:WEIS
Authorized Official - Last Name:ARON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-323-2242
Mailing Address - Street 1:1209 N 18TH ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5495
Mailing Address - Country:US
Mailing Address - Phone:318-323-2242
Mailing Address - Fax:318-323-2298
Practice Address - Street 1:1209 N 18TH ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-5495
Practice Address - Country:US
Practice Address - Phone:318-323-2242
Practice Address - Fax:318-323-2298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-23
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy