Russell Smith

NPI #1184174229 in Pueblo, Colorado

Provider Information

NPI Number: 1184174229
Entity Type: Individual
Name: Russell Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 13, 2016
Last Updated: Oct 13, 2016

Practice Location

Address: 2114 CHATALET LN APT L
City: Pueblo
State: Colorado
ZIP Code: 81005-4602
Phone: (719) 214-4795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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