Provider Demographics
NPI:1811473168
Name:LOBER, AARON (RPH)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:LOBER
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 1:2445 MEADOW RUN CT
Mailing Address - Street 2:
Mailing Address - City:MARYLAND HEIGHTS
Mailing Address - State:MO
Mailing Address - Zip Code:63043-1546
Mailing Address - Country:US
Mailing Address - Phone:618-889-8794
Mailing Address - Fax:
Practice Address - Street 1:74 GRANDVIEW PLAZA SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-6105
Practice Address - Country:US
Practice Address - Phone:314-838-1366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016034035183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist