Donald Ray Russell, RPH

NPI #1225631948 in Camby, Indiana

Provider Information

NPI Number: 1225631948
Entity Type: Individual
Name: Donald Ray Russell, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 17, 2020
Last Updated: Nov 17, 2020

Practice Location

Address: 8191 UPLAND BEND
City: Camby
State: Indiana
ZIP Code: 46113
Phone: (317) 856-9521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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