Provider Demographics
NPI:1528320330
Name:APARICIO, JOSE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:
Last Name:APARICIO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12518 N GENTLE RAIN DR
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85658-4297
Mailing Address - Country:US
Mailing Address - Phone:520-404-2720
Mailing Address - Fax:
Practice Address - Street 1:1705 E HANNA RD
Practice Address - Street 2:
Practice Address - City:ELOY
Practice Address - State:AZ
Practice Address - Zip Code:85131-9612
Practice Address - Country:US
Practice Address - Phone:520-464-3058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016945183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist