MEDICARE: MR. ALAN SAMUEL ARONOVITZ 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	28RI01725900	NJ
2	183500000X	Pharmacist	PS22342	FL
3	183500000X	Pharmacist	RP032219L	PA

General Provider Information

NPI Number	:	1578693685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALAN SAMUEL ARONOVITZ RPH

Provider Business Mailing Address
First Line	:	7033 VENTNOR GARDENS PLZ
Second Line	:
City	:	VENTNOR CITY
State	:	NJ
Zip	:	08406-1627
Country	:	US
Telephone Number	:	609-823-8309
Fax Number	:

Provider Business Practice Location Address
First Line	:	7035 VENTNOR GARDENS PLZ
Second Line	:
City	:	VENTNOR CITY
State	:	NJ
Zip	:	08406-1627
Country	:	US
Telephone Number	:	609-823-8309
Fax Number	:

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

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	06/09/2010

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