Provider Demographics
NPI:1861685323
Name:PROCTOR, AARON J (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:J
Last Name:PROCTOR
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 1:181 CEDAR HILL ST
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-3035
Mailing Address - Country:US
Mailing Address - Phone:866-476-5224
Mailing Address - Fax:866-476-5256
Practice Address - Street 1:181 CEDAR HILL ST
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-3035
Practice Address - Country:US
Practice Address - Phone:866-476-5224
Practice Address - Fax:866-476-5256
Is Sole Proprietor?:No
Enumeration Date:2007-08-19
Last Update Date:2007-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA26912183500000X, 1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA26912OtherMA BOARD OF PHARMACY