Provider Demographics
NPI:1912275173
Name:CEESAY, MUSA JALAMANG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MUSA
Middle Name:JALAMANG
Last Name:CEESAY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1537 CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:HORN LAKE
Mailing Address - State:MS
Mailing Address - Zip Code:38637-8553
Mailing Address - Country:US
Mailing Address - Phone:662-349-6787
Mailing Address - Fax:662-349-9373
Practice Address - Street 1:1011 GOODMAN RD E
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-9505
Practice Address - Country:US
Practice Address - Phone:662-349-6787
Practice Address - Fax:662-349-9373
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE094381835P1200X
TN116641835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy