Dyals Mason Avenue Pharmacy Inc

NPI 1013048115 - Pharmacy - 333600000X

NPI Details
NPI 1013048115
Enumeration Date 03/08/2007
Last Updated 01/29/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FRANK FRANK
Position OWNER
Phone (386) 255-0907
Fax (386) 253-5541
Practice Location
636 MASON AVE
DAYTONA BEACH FL, 32117-4835, US
Phone (386) 255-0907
Fax (386) 253-5541
Business Location
636 MASON AVE
DAYTONA BEACH FL, 32117-4835, US
Phone (386) 255-0907
Fax (386) 253-5541
Toxanomy
Taxonomy Code 333600000X
License State
License Number
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According to our database, Dyals Mason Avenue Pharmacy Inc NPI is 1013048115, taxonomy code is 333600000X Dyals Mason Avenue Pharmacy Inc physically located at 636 Mason Ave, Daytona Beach FL, 32117-4835. NPI Number 1033115704 has the healthcare provider type.

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1013048115 NPI number is provided on an as is basis without warranty of any kind. 1013048115 is maintained by the National Plan & Provider Enumeration System. The contents of Dyals Mason Avenue Pharmacy Inc are for informational purposes only.