Provider Demographics
NPI:1598293847
Name:OVERTON, AARON MITCHELL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:MITCHELL
Last Name:OVERTON
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 1:2000 SW 16TH ST APT 23
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1437
Mailing Address - Country:US
Mailing Address - Phone:352-213-9631
Mailing Address - Fax:
Practice Address - Street 1:5171 NW 43RD ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-4456
Practice Address - Country:US
Practice Address - Phone:352-372-8786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-31
Last Update Date:2017-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS56246183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist