| NPI | 1558417691 |
|---|---|
| Former Legal Business Name | MCCULLY SNYDER PHARMACY, INC. |
| Entity Type | Organization |
| Authorized Contact | JESSICA DILEO President/Owner 352-341-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: FL PH 12847) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2015-11-10 |