Individual
DELAINE MCCARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3690 US 1 S, ST AUGUSTINE, FL 32086-6498
(904) 794-1399
Mailing address
3690 US 1 S, ST AUGUSTINE, FL 32086-6498
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH22478
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025956000
—
FL
Enumeration date
01/13/2021
Last updated
01/13/2021
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