Individual
DR. IVAN PURNELL CEPHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
50 IRVING ST NW, PHARMACY SERVICE (119), WASHINGTON, DC 20422-0001
(202) 745-8000
(202) 745-8639
Mailing address
3106 35TH ST NE, WASHINGTON, DC 20018-1628
(202) 635-0567
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS 36007
FL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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