Provider Demographics
NPI:1578020889
Name:HESLER, AARON STANFORD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:STANFORD
Last Name:HESLER
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:PO BOX 82
Mailing Address - Street 2:
Mailing Address - City:VICI
Mailing Address - State:OK
Mailing Address - Zip Code:73859-0082
Mailing Address - Country:US
Mailing Address - Phone:580-995-3500
Mailing Address - Fax:580-995-3500
Practice Address - Street 1:202 E BROADWAY
Practice Address - Street 2:
Practice Address - City:VICI
Practice Address - State:OK
Practice Address - Zip Code:73859
Practice Address - Country:US
Practice Address - Phone:580-995-3500
Practice Address - Fax:580-995-3502
Is Sole Proprietor?:No
Enumeration Date:2019-02-22
Last Update Date:2019-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK17565183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist