Individual
JOHN J MALATESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
101 MANSKER DR, FLORA, MS 39071-8700
(601) 879-9682
(601) 879-8722
Mailing address
101 MANSKER DR, FLORA, MS 39071-8700
(601) 879-9682
(601) 879-8722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-5552
MS
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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