Healthcare Provider Details

I. General information

NPI: 1568469724
Provider Name (Legal Business Name): AARON ROBERT PERKINS PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/03/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 POPLAR ST
MURRAY KY
42071-2432
US

IV. Provider business mailing address

2203 QUAIL CREEK DR
MURRAY KY
42071-2728
US

V. Phone/Fax

Practice location:
  • Phone: 270-762-1198
  • Fax: 270-767-3612
Mailing address:
  • Phone: 270-759-4316
  • Fax: 270-767-3612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number012354
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: