Healthcare Provider Details

I. General information

NPI: 1437116506
Provider Name (Legal Business Name): AARON JAMES WEBER RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3892 SCOTTSVILLE RD
SCOTTSVILLE NY
14546-1151
US

IV. Provider business mailing address

2600 BRONSON HILL RD
AVON NY
14414-9637
US

V. Phone/Fax

Practice location:
  • Phone: 585-889-8258
  • Fax: 585-889-4373
Mailing address:
  • Phone: 585-889-8258
  • Fax: 585-889-4373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number042944-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: