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NPI Code Detail

MEDICARE: DR. AARON MITCHELL OVERTON PHARMD

MEDICARE: DR. AARON MITCHELL OVERTON PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS56246FL

General Provider Information

NPI Number : 1598293847
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AARON MITCHELL OVERTON PHARMD
Provider Business Mailing Address
First Line : 2000 SW 16TH ST APT 23
Second Line :
City : GAINESVILLE
State : FL
Zip : 32608-1437
Country : US
Telephone Number : 352-213-9631
Fax Number :
Provider Business Practice Location Address
First Line : 5171 NW 43RD ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32606-4456
Country : US
Telephone Number : 352-372-8786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2017
Last Update Date : 05/31/2017

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