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General NPI Number Information
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NPI Number | 1346121720
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Entity Type | Organization
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Legal Business Name | MAYO PHARMACY AND WELLNESS CENTER, INC.
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 01/24/2026
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Provider Practice Location Address
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Address Line | 523 N MARION AVE
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City | LAKE CITY
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State | FL
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Zip | 32055-2882
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Country | US
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Telephone | 386-344-1422
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Fax |
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Provider Business Mailing Address
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Address Line | 4846 NW LAKE JEFFERY RD
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City | LAKE CITY
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State | FL
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Zip | 32055-4797
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Country | US
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Telephone | 386-344-1422
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERICA MAYO
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Credential | PHARMD
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Telephone | 386-344-1422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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