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NPI Code Detail

MEDICARE: AARON GIBSON HALES PHARMD

MEDICARE: AARON GIBSON HALES PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist18560NV

General Provider Information

NPI Number : 1598190225
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON GIBSON HALES PHARMD
Provider Business Mailing Address
First Line : 6650 E LAKE MEAD BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89156-7033
Country : US
Telephone Number : 702-438-2744
Fax Number :
Provider Business Practice Location Address
First Line : 6650 E LAKE MEAD BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89156-7033
Country : US
Telephone Number : 702-438-2744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2013
Last Update Date : 09/12/2013

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Directions to “ AARON GIBSON HALES PHARMD” Practice Location

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