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Individual

ROSS CENTANNI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
5440 HIGHWAY 90 W, MOBILE, AL 36619-4227
(251) 602-1811
Mailing address
5440 HIGHWAY 90 W, MOBILE, AL 36619-4227
(251) 602-1811

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11789
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11489
ALABAMA LIC#
AL
Enumeration date
02/27/2015
Last updated
02/27/2015
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