Provider Demographics
NPI:1811652258
Name:NAKKEN, AARON (PHARM D)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:
Last Name:NAKKEN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:863 N 980 W
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-7710
Mailing Address - Country:US
Mailing Address - Phone:801-607-2138
Mailing Address - Fax:801-225-2388
Practice Address - Street 1:863 N 980 W
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-7710
Practice Address - Country:US
Practice Address - Phone:801-607-2138
Practice Address - Fax:801-225-2388
Is Sole Proprietor?:No
Enumeration Date:2021-11-01
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT69123321-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist