Provider Demographics
NPI:1144529140
Name:AGGARWAL, ASHISH (RPH)
Entity type:Individual
Prefix:DR
First Name:ASHISH
Middle Name:
Last Name:AGGARWAL
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 1:4218 NEW TOWN AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-2681
Mailing Address - Country:US
Mailing Address - Phone:601-212-9982
Mailing Address - Fax:757-565-6443
Practice Address - Street 1:5601 RICHMOND RD STE B
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-1995
Practice Address - Country:US
Practice Address - Phone:757-565-6407
Practice Address - Fax:757-565-6443
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208243183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0202208243OtherVA PHARMACIST LICENSE