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Organization

MAYO FAMILY PHARMACY, INC.

Active
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Organization

MAYO FAMILY PHARMACY, INC.

Active
Other names
Mayo Family Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. IRA L RILEY JR. RPH (PHARMACY MANAGER OWNER)
(386) 294-3500
Entity
Organization

Contact information

Practice address
294 W MAIN ST, SUITE 1, MAYO, FL 32066
(386) 294-3500
(386) 294-3482
Mailing address
PO BOX 405, MAYO, FL 32066
(386) 294-3500
(386) 294-3482

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH18715
FL
333600000X
Pharmacy
PH18715
FL

Other

Enumeration date
07/17/2006
Last updated
08/16/2007
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