Provider Demographics
NPI:1184401838
Name:ARAGON, DIANA (PHARMD)
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:ARAGON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10932 SANDY KOUFAX DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-3271
Mailing Address - Country:US
Mailing Address - Phone:915-250-6161
Mailing Address - Fax:
Practice Address - Street 1:2300 E LOHMAN AVE
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-8492
Practice Address - Country:US
Practice Address - Phone:575-647-2506
Practice Address - Fax:575-647-1933
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMRP00010021183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist