Provider Demographics
NPI:1558675504
Name:FRANCE, AARON
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:FRANCE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6199 S PARK AVE
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-3846
Mailing Address - Country:US
Mailing Address - Phone:716-648-1475
Mailing Address - Fax:716-648-5894
Practice Address - Street 1:6199 S PARK AVE
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-3846
Practice Address - Country:US
Practice Address - Phone:716-648-1475
Practice Address - Fax:716-648-5894
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-02
Last Update Date:2016-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054540183500000X
PARP443305183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist