| NPI | 1811442502 |
|---|---|
| Doing Business As | ST. MARY PHARMACY COMPOUNDING AND MEDICAL SUPPLIES |
| Doing Business As | ST. MARY PHARMACY, COMPOUNDING AND MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | JOHN MANSOUR President 352-357-6699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH30203) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2021-07-07 |