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NPI Code Detail

MEDICARE: CANDICE CEFALU PHARMD

MEDICARE: CANDICE CEFALU PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistE-010094MS

General Provider Information

NPI Number : 1619329927
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE CEFALU PHARMD
Provider Business Mailing Address
First Line : 104 CURRAN DR
Second Line :
City : LOUISVILLE
State : MS
Zip : 39339-9483
Country : US
Telephone Number : 662-803-3848
Fax Number :
Provider Business Practice Location Address
First Line : 104 W MAIN ST
Second Line :
City : LOUISVILLE
State : MS
Zip : 39339-2620
Country : US
Telephone Number : 662-773-5363
Fax Number : 662-773-9951
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2016
Last Update Date : 07/11/2016

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Directions to “ CANDICE CEFALU PHARMD” Practice Location

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