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Individual

THOMAS CEFALU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
16575 E MAIN ST, LOUISVILLE, MS 39339
(662) 773-5363
Mailing address
16575 W MAIN ST, LOUISVILLE, MS 39339-2647
(662) 773-5363

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-010093
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17888
MISSISSIPPI STATE BOARD OF PHARMACY
MS
01
2505204
NABP
MS
Enumeration date
11/19/2019
Last updated
11/29/2019
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