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Dyals Mason Avenue Pharmacy Inc
Specialty Pharmacy in Daytona Beach, Florida
NPI 1013048115

Dyals Mason Avenue Pharmacy Inc is a Specialty Pharmacy based in Daytona Beach, FL and is specialized in Specialty Pharmacy. Dyals Mason Avenue Pharmacy Inc practices in Daytona Beach, FL. The NPI Number for Dyals Mason Avenue Pharmacy Inc is 1013048115 and holds a License No. (Florida).

The current practice location address for Dyals Mason Avenue Pharmacy Inc is 636 Mason Ave, Daytona Beach, FL and can be reached out via phone at 386-255-0907 and via fax at 386-253-5541.

Location: 636 Mason Ave, Daytona Beach, FL, 32117-4835
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013048115
Provider Name
Dyals Mason Avenue Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
636 Mason Ave, Daytona Beach, FL, 32117-4835
Phone Number
386-255-0907
Fax Number
386-253-5541
Provider Enumeration Date
03/08/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104754000 05 FL
2004058 01 PK
institution
Provider Business Practice Location Address Details
Address
636 Mason Ave
City
Daytona Beach
State
Florida
Zip
32117-4835
Phone Number
386-255-0907
Fax Number
386-253-5541
person
Provider Business Mailing Address Details
Address
636 Mason Ave
City
Daytona Beach
State
Florida
Zip
32117-4835
Phone Number
386-255-0907
Fax Number
386-253-5541
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
PH2635 (Florida)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
()
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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