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Rudy Letellier
NPI 1477143691 · on the registry since 2021 · sole proprietor
Practice
- Address
- 112 Auderer Blvd
Waveland, MS 39576 - Phone
- (228) 463-1055
- Fax
- (228) 463-0117
- Organisation at this address
- Waveland Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi