Provider Demographics
NPI:1154534899
Name:AARON, TIMOTHY ALAN (RPH)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:ALAN
Last Name:AARON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 TWIN PINES CIR
Mailing Address - Street 2:
Mailing Address - City:TUSCUMBIA
Mailing Address - State:AL
Mailing Address - Zip Code:35674-7711
Mailing Address - Country:US
Mailing Address - Phone:256-331-1949
Mailing Address - Fax:
Practice Address - Street 1:500 S MONTGOMERY AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:SHEFFIELD
Practice Address - State:AL
Practice Address - Zip Code:35660-3858
Practice Address - Country:US
Practice Address - Phone:256-389-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist