DAVID ELLERY MATHIS

LAKE CITY, FL
NPI1982984456
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: FL  PS41750)
Enumeration Date2011-08-28
Last Update Date2011-08-28
Business Address
Dr. DAVID ELLERY MATHIS PharmD
2094 W US HIGHWAY 90
LAKE CITY, FL 32055-4720
Phone number: 386-755-0313
Mailing Address
Dr. DAVID ELLERY MATHIS PharmD
2094 W US HIGHWAY 90
LAKE CITY, FL 32055-4720
Phone number: 386-755-0313
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