Provider Demographics
NPI:1891245452
Name:SERVICE, AIME P (PHARMD,MBA,MA,BA)
Entity Type:Individual
Prefix:DR
First Name:AIME
Middle Name:P
Last Name:SERVICE
Suffix:
Gender:M
Credentials:PHARMD,MBA,MA,BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4005 DURHAM CHAPEL HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2516
Mailing Address - Country:US
Mailing Address - Phone:919-402-1363
Mailing Address - Fax:
Practice Address - Street 1:4005 DURHAM CHAPEL HILL BLVD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2516
Practice Address - Country:US
Practice Address - Phone:919-402-1363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18274183500000X
MD16408183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist