Provider Demographics
NPI:1477800878
Name:BARCELO, AARON MARK (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:MARK
Last Name:BARCELO
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 1:501 BELLEVUE AVE
Mailing Address - Street 2:
Mailing Address - City:WILMORE
Mailing Address - State:KY
Mailing Address - Zip Code:40390-1013
Mailing Address - Country:US
Mailing Address - Phone:859-230-2790
Mailing Address - Fax:
Practice Address - Street 1:260 E NEW CIRCLE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-2117
Practice Address - Country:US
Practice Address - Phone:859-225-8903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY015994183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist