Individual
MRS. DANA PERRY MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3718 W US HIGHWAY 90, LAKE CITY, FL 32055-4897
(386) 755-9300
Mailing address
13757 86TH TER, LIVE OAK, FL 32060-9013
(386) 364-5871
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS34012
FL
Other
Enumeration date
10/15/2007
Last updated
03/12/2008
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