Healthcare Provider Details

I. General information

NPI: 1932418969
Provider Name (Legal Business Name): AARRIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2010
Last Update Date: 06/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16970 SAN CARLOS BLVD SUITE 110
FORT MYERS FL
33908-1236
US

IV. Provider business mailing address

16970 SAN CARLOS BLVD SUITE 110
FORT MYERS FL
33908-1236
US

V. Phone/Fax

Practice location:
  • Phone: 239-690-9990
  • Fax:
Mailing address:
  • Phone: 239-690-9990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH24756
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AARON HOWARD
Title or Position: PRESIDENT
Credential:
Phone: 239-690-9990