Healthcare Provider Details

I. General information

NPI: 1437872603
Provider Name (Legal Business Name): WILLIAM CELLA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2022
Last Update Date: 09/22/2022
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2398 NEW SALEM HWY
MURFREESBORO TN
37128-5246
US

IV. Provider business mailing address

2398 NEW SALEM HWY
MURFREESBORO TN
37128-5246
US

V. Phone/Fax

Practice location:
  • Phone: 615-893-1867
  • Fax:
Mailing address:
  • Phone: 615-893-1867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6658
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: