MR. Edward Russell III, R.PH.

NPI #1023422458 in Scottsdale, Arizona

Provider Information

NPI Number: 1023422458
Entity Type: Individual
Name: MR. Edward Russell III, R.PH.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Jun 13, 2014
Last Updated: Jun 13, 2014

Practice Location

Address: 8257 E HOVERLAND RD
City: Scottsdale
State: Arizona
ZIP Code: 85255-3909
Phone: (618) 925-5360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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