Provider Demographics
NPI:1871985242
Name:SAINT-VIL, MAYRA (PHARM-D)
Entity type:Individual
Prefix:
First Name:MAYRA
Middle Name:
Last Name:SAINT-VIL
Suffix:
Gender:F
Credentials:PHARM-D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 NW 13TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-3418
Mailing Address - Country:US
Mailing Address - Phone:352-380-9039
Mailing Address - Fax:352-380-9101
Practice Address - Street 1:3909 NW 13TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-1938
Practice Address - Country:US
Practice Address - Phone:352-327-9805
Practice Address - Fax:352-336-8597
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-23
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS44319183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist