MR. Russell Daniel Gardner, RPH

NPI #1104977917 in Joshua, Texas

Provider Information

NPI Number
1104977917
Entity Type
Individual
Name
MR. Russell Daniel Gardner, RPH
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Jan 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
3521 B SW WILSHIRE
City
Joshua
State
Texas
ZIP Code
76058
Phone
(817) 484-3267

Specialties & Taxonomy Codes

Specialty
Pharmacist

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