Healthcare Provider Details

I. General information

NPI: 1881690568
Provider Name (Legal Business Name): AARON E. MCINTOSH PHARM.D., R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

662 E MAIN ST
FRANKFORT KY
40601-2338
US

IV. Provider business mailing address

102 COACH STATION RD
MIDWAY KY
40347-9779
US

V. Phone/Fax

Practice location:
  • Phone: 502-223-2827
  • Fax: 502-227-2026
Mailing address:
  • Phone: 859-846-5094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12005
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: