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Individual

DUSTIN COLE CANTRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
750 CITY AVE S, RIPLEY, MS 38663-2520
(662) 837-4444
(662) 837-4443
Mailing address
5395 LANGSTON RD, BYHALIA, MS 38611-8192
(662) 308-8591

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-15652
MS

Other

Enumeration date
12/01/2020
Last updated
12/01/2020
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