Provider Demographics
NPI:1447093125
Name:KIRSCH, AARON M (PHARMD)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:M
Last Name:KIRSCH
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 MIDDLEBURY RD
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-2681
Mailing Address - Country:US
Mailing Address - Phone:585-474-7121
Mailing Address - Fax:
Practice Address - Street 1:744 MIDDLEBURY RD
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-2681
Practice Address - Country:US
Practice Address - Phone:585-474-7121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071539183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist