Provider Demographics
NPI:1831403708
Name:AGUILAR, KASEY MICHELLE (PHARMD)
Entity type:Individual
Prefix:
First Name:KASEY
Middle Name:MICHELLE
Last Name:AGUILAR
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 1:2534 DANBURY ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-6020
Mailing Address - Country:US
Mailing Address - Phone:210-789-3788
Mailing Address - Fax:
Practice Address - Street 1:10660 W FM 471 # 494
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-1320
Practice Address - Country:US
Practice Address - Phone:210-684-1234
Practice Address - Fax:210-684-1713
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47795183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist