Provider Demographics
NPI:1710699210
Name:ADKINS, AARON M (PHARMD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:M
Last Name:ADKINS
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 1:1144 BROADVIEW RD
Mailing Address - Street 2:
Mailing Address - City:TALLMADGE
Mailing Address - State:OH
Mailing Address - Zip Code:44278-3310
Mailing Address - Country:US
Mailing Address - Phone:330-612-1706
Mailing Address - Fax:
Practice Address - Street 1:2743 GILCHRIST RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-4413
Practice Address - Country:US
Practice Address - Phone:330-376-1325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03439820183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist