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1790066272
DANIEL DEORNELLAS
JACKSON, MS
NPI
1790066272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AR PD11724)
Enumeration Date
2011-08-29
Last Update Date
2011-08-29
Business Address
-- DANIEL DEORNELLAS Pharm.D.
1500 E WOODROW WILSON AVE PHARMACY SERVICE (119)
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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Mailing Address
-- DANIEL DEORNELLAS Pharm.D.
1500 E WOODROW WILSON AVE PHARMACY SERVICE (119)
JACKSON, MS 39216-5116
Phone number:
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