Healthcare Provider Details

I. General information

NPI: 1144529140
Provider Name (Legal Business Name): ASHISH AGGARWAL RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2011
Last Update Date: 03/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 RICHMOND RD STE B
WILLIAMSBURG VA
23188-1995
US

IV. Provider business mailing address

4218 NEW TOWN AVE
WILLIAMSBURG VA
23188-2681
US

V. Phone/Fax

Practice location:
  • Phone: 757-565-6407
  • Fax: 757-565-6443
Mailing address:
  • Phone: 601-212-9982
  • Fax: 757-565-6443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202208243
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: