Provider Demographics
NPI:1891181392
Name:CHAVARRIA, AARON ABRAHAM (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:ABRAHAM
Last Name:CHAVARRIA
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 1:11685 MONTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-0722
Mailing Address - Country:US
Mailing Address - Phone:915-855-7704
Mailing Address - Fax:915-855-7820
Practice Address - Street 1:11685 MONTWOOD DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-0722
Practice Address - Country:US
Practice Address - Phone:915-855-7704
Practice Address - Fax:915-855-7820
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX54027183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist