Individual
DANIEL JAMES CERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
154 S MAIN ST, GRAVOIS MILLS, MO 65037-6196
(573) 207-0805
Mailing address
185 HOOFBEAT LN, MONTREAL, MO 65591-8202
(573) 216-2599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2004034213
MO
Other
Enumeration date
06/21/2012
Last updated
06/06/2019
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