Provider Demographics
NPI:1386926046
Name:ARAGONES, JEFFREY
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:ARAGONES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25905 5 MILE RD
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3226
Mailing Address - Country:US
Mailing Address - Phone:313-535-8480
Mailing Address - Fax:313-535-7313
Practice Address - Street 1:25905 5 MILE RD
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3226
Practice Address - Country:US
Practice Address - Phone:313-535-8480
Practice Address - Fax:313-535-7313
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302030860183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist