Provider Demographics
NPI:1265956189
Name:VASQUEZ, ALDO BORIS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ALDO
Middle Name:BORIS
Last Name:VASQUEZ
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 1:25060 E OTTAWA DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-7531
Mailing Address - Country:US
Mailing Address - Phone:562-440-5773
Mailing Address - Fax:
Practice Address - Street 1:25060 E OTTAWA DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-7531
Practice Address - Country:US
Practice Address - Phone:562-440-5773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-01
Last Update Date:2017-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO183681835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy