Provider Demographics
NPI:1740509975
Name:ARAGONES, PETER (PHARM D)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:ARAGONES
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2857 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34715-8196
Mailing Address - Country:US
Mailing Address - Phone:352-432-5555
Mailing Address - Fax:352-432-5555
Practice Address - Street 1:600 E DIXIE AVE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-5925
Practice Address - Country:US
Practice Address - Phone:352-323-5384
Practice Address - Fax:352-315-3679
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS42650183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist