Provider Demographics
NPI:1720423775
Name:MOSTELLER, AARON JOSHUA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:JOSHUA
Last Name:MOSTELLER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JOSH
Other - Middle Name:
Other - Last Name:MOSTELLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2701 HOMESTEAD RD
Mailing Address - Street 2:APT 1101
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-8760
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3793 GUESS RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-6910
Practice Address - Country:US
Practice Address - Phone:919-479-5156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-03
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25088183500000X
NC390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes183500000XPharmacy Service ProvidersPharmacist