Provider Demographics
NPI:1609151687
Name:BRUMMER, AARON (PHARMD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:BRUMMER
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 1:115 2ND AVE N
Mailing Address - Street 2:
Mailing Address - City:SAUK RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:56379-1605
Mailing Address - Country:US
Mailing Address - Phone:320-253-6601
Mailing Address - Fax:320-253-7858
Practice Address - Street 1:115 2ND AVE N
Practice Address - Street 2:
Practice Address - City:SAUK RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:56379-1605
Practice Address - Country:US
Practice Address - Phone:320-253-6601
Practice Address - Fax:320-253-7858
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN120055183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist