Provider Demographics
NPI:1184046989
Name:BORCHERS, AIMEE
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:BORCHERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7150 EXECUTIVE BLVD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45424-1412
Mailing Address - Country:US
Mailing Address - Phone:937-237-4610
Mailing Address - Fax:937-237-4665
Practice Address - Street 1:7150 EXECUTIVE BLVD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45424-1412
Practice Address - Country:US
Practice Address - Phone:937-237-4610
Practice Address - Fax:937-237-4665
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03224555183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist