Provider Demographics
NPI:1932715984
Name:ALICEA, AARON (RPH)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:
Last Name:ALICEA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8543 EAGLE BROOK DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-6168
Mailing Address - Country:US
Mailing Address - Phone:813-992-3440
Mailing Address - Fax:
Practice Address - Street 1:8424 SHELDON RD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-1606
Practice Address - Country:US
Practice Address - Phone:813-886-9427
Practice Address - Fax:813-886-9280
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS320341835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist