MEDICARE: MR. AARON JAMES WEBER RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	042944-1	NY

General Provider Information

NPI Number	:	1437116506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. AARON JAMES WEBER RPH

Provider Business Mailing Address
First Line	:	2600 BRONSON HILL RD
Second Line	:
City	:	AVON
State	:	NY
Zip	:	14414-9637
Country	:	US
Telephone Number	:	585-889-8258
Fax Number	:	585-889-4373

Provider Business Practice Location Address
First Line	:	3892 SCOTTSVILLE RD
Second Line	:
City	:	SCOTTSVILLE
State	:	NY
Zip	:	14546-1151
Country	:	US
Telephone Number	:	585-889-8258
Fax Number	:	585-889-4373

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	07/08/2007

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