MEDICARE: AARON DAZA PHARMD

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	20725	NV

General Provider Information

NPI Number	:	1568055333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON DAZA PHARMD

Provider Business Mailing Address
First Line	:	9461 VERNEDA CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8206
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5850 W CRAIG RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-2558
Country	:	US
Telephone Number	:	702-395-1222
Fax Number	:

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

Provider Enumeration Date	:	02/12/2021
Last Update Date	:	02/12/2021

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Directions to “ AARON DAZA PHARMD” Practice Location

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