Basic Information
Provider Information
NPI: 1619174695
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LENGEL
FirstName: AARON
MiddleName: J
NamePrefix: DR.
NameSuffix:  
Credential: PHARM D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3000 ARLINGTON AVE
Address2: MS #1013
City: TOLEDO
State: OH
PostalCode: 436142595
CountryCode: US
TelephoneNumber: 4193831924
FaxNumber: 4193831950
Practice Location
Address1: 3000 ARLINGTON AVE
Address2: MS #1013
City: TOLEDO
State: OH
PostalCode: 436142595
CountryCode: US
TelephoneNumber: 4193831924
FaxNumber: 4193831950
Other Information
ProviderEnumerationDate: 07/02/2007
LastUpdateDate: 01/08/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X03-2-27845OHY Pharmacy Service ProvidersPharmacist 

No ID Information.


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