Provider Demographics
NPI:1508323486
Name:PALOS, AARON JOHN (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:JOHN
Last Name:PALOS
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 1:11320 MONTWOOD
Mailing Address - Street 2:PHARMACY
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936
Mailing Address - Country:US
Mailing Address - Phone:915-855-9772
Mailing Address - Fax:915-857-4771
Practice Address - Street 1:11320 MONTWOOD
Practice Address - Street 2:PHARMACY
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936
Practice Address - Country:US
Practice Address - Phone:915-855-9772
Practice Address - Fax:915-857-4771
Is Sole Proprietor?:No
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61136183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist