Provider Demographics
NPI:1588001952
Name:AARON M HIRST LLC
Entity Type:Organization
Organization Name:AARON M HIRST LLC
Other - Org Name:NORTHGATE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:M
Authorized Official - Last Name:HIRST
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:620-960-3719
Mailing Address - Street 1:PO BOX 456
Mailing Address - Street 2:
Mailing Address - City:HUTCHINSON
Mailing Address - State:KS
Mailing Address - Zip Code:67504-0456
Mailing Address - Country:US
Mailing Address - Phone:620-960-3719
Mailing Address - Fax:
Practice Address - Street 1:2707 TARTAN TRL
Practice Address - Street 2:
Practice Address - City:HUTCHINSON
Practice Address - State:KS
Practice Address - Zip Code:67502-2067
Practice Address - Country:US
Practice Address - Phone:620-960-3719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-26
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2-104543336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS2-10454OtherSTATE LICENSE #