Healthcare Provider Details

I. General information

NPI: 1538572367
Provider Name (Legal Business Name): AIMEE SAVILLE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2014
Last Update Date: 06/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 NATIONAL HWY
LAVALE MD
21502-7603
US

IV. Provider business mailing address

1202 NATIONAL HWY
LAVALE MD
21502-7603
US

V. Phone/Fax

Practice location:
  • Phone: 301-729-1004
  • Fax: 301-729-1728
Mailing address:
  • Phone: 301-729-1004
  • Fax: 301-729-1728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19240
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP0000072
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: