Individual
DR. DAVID WAYNE MCKISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2220 COUNTY ROAD 210 W STE 200, JACKSONVILLE, FL 32259-4061
(904) 823-2171
Mailing address
2220 COUNTY ROAD 210 W STE 200, JACKSONVILLE, FL 32259-4061
(904) 823-2171
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS43751
FL
Other
Enumeration date
02/02/2011
Last updated
02/02/2011
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