Provider Demographics
NPI:1720446610
Name:HOHOLIK, AARON (PHARMD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:HOHOLIK
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 1:88 KENDRA CT
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:49331-9129
Mailing Address - Country:US
Mailing Address - Phone:616-340-4906
Mailing Address - Fax:
Practice Address - Street 1:88 KENDRA CT
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MI
Practice Address - Zip Code:49331-9129
Practice Address - Country:US
Practice Address - Phone:616-340-4906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-05
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5020360991835P2201X
3336L0003X
MI333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy