Provider Demographics
NPI:1548351125
Name:ARONSON, MARY E (RPH)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:E
Last Name:ARONSON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2206 STUART ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-7525
Mailing Address - Country:US
Mailing Address - Phone:303-776-1919
Mailing Address - Fax:
Practice Address - Street 1:440 MAIN ST.
Practice Address - Street 2:
Practice Address - City:LYONS
Practice Address - State:CO
Practice Address - Zip Code:80540
Practice Address - Country:US
Practice Address - Phone:303-823-9134
Practice Address - Fax:303-283-9140
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12577183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist