Provider Demographics
NPI:1902427453
Name:AARON, SETH J (RPH)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:J
Last Name:AARON
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-3522
Mailing Address - Country:US
Mailing Address - Phone:610-202-0515
Mailing Address - Fax:
Practice Address - Street 1:338 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:MERION STATION
Practice Address - State:PA
Practice Address - Zip Code:19066-1202
Practice Address - Country:US
Practice Address - Phone:610-664-4815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0004798183500000X
PARP450318183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist