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NPI Code Detail

MEDICARE: AARON BOAS PHARMD

MEDICARE: AARON BOAS 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
1183500000XPharmacist46763TX

General Provider Information

NPI Number : 1932437878
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON BOAS PHARMD
Provider Business Mailing Address
First Line : 4501 GUADALUPE ST
Second Line :
City : AUSTIN
State : TX
Zip : 78751
Country : US
Telephone Number : 512-323-6098
Fax Number :
Provider Business Practice Location Address
First Line : 4501 GUADALUPE ST
Second Line :
City : AUSTIN
State : TX
Zip : 78751-2937
Country : US
Telephone Number : 512-323-6098
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2009
Last Update Date : 10/19/2012

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Directions to “ AARON BOAS PHARMD” Practice Location

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