Provider Demographics
NPI:1427467018
Name:GOLZ, AARON
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:GOLZ
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 1:9830 W LOWER BUCKEYE RD
Mailing Address - Street 2:
Mailing Address - City:TOLLESON
Mailing Address - State:AZ
Mailing Address - Zip Code:85353-1401
Mailing Address - Country:US
Mailing Address - Phone:623-687-2136
Mailing Address - Fax:
Practice Address - Street 1:9830 W LOWER BUCKEYE RD
Practice Address - Street 2:
Practice Address - City:TOLLESON
Practice Address - State:AZ
Practice Address - Zip Code:85353-1401
Practice Address - Country:US
Practice Address - Phone:623-687-2136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-07
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS020774183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist