MR. Leslie W Russell, R . PH.
NPI #1275526782 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1275526782
- Entity Type
- Individual
- Name
- MR. Leslie W Russell, R . PH.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Pharmacist
- Credential
- R . PH.
- Enumeration Date
- Aug 30, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 415 S 42ND ST
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-6266
- Phone
- (618) 244-9660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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