Healthcare Provider Details

I. General information

NPI: 1144853771
Provider Name (Legal Business Name): SAMUEL LAWRENCE ARONSON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2020
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4279 S 76TH ST
GREENFIELD WI
53220-2804
US

IV. Provider business mailing address

4279 S 76TH ST
GREENFIELD WI
53220-2804
US

V. Phone/Fax

Practice location:
  • Phone: 414-541-3836
  • Fax:
Mailing address:
  • Phone: 414-541-3836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number20112-40
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number20112-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: