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1104167576
ROSS PHILLIP GUASTELLA
MEMPHIS, TN
NPI
1104167576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MS T-12757)
Enumeration Date
2013-03-11
Last Update Date
2013-03-11
Business Address
Mr. ROSS PHILLIP GUASTELLA R.Ph.
4300 NEW GETWELL RD
MEMPHIS, TN 38118-6801
Phone number: 901-341-3606
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Mailing Address
Mr. ROSS PHILLIP GUASTELLA R.Ph.
142 VICTORIA PL
MADISON, MS 39110-5502
Phone number: 901-341-3603
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