Provider Demographics
NPI:1467720490
Name:OVERTON, VERONICA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:
Last Name:OVERTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:798 SHADOW WALK CV
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-3933
Mailing Address - Country:US
Mailing Address - Phone:901-800-6128
Mailing Address - Fax:855-350-8669
Practice Address - Street 1:798 SHADOW WALK CV
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-3933
Practice Address - Country:US
Practice Address - Phone:901-800-6128
Practice Address - Fax:855-350-8669
Is Sole Proprietor?:No
Enumeration Date:2011-12-05
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12998183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist