MS. Lisa Marie Russell, RPH

NPI #1649509498 in Jasper, Texas

Provider Information

NPI Number: 1649509498
Entity Type: Individual
Name: MS. Lisa Marie Russell, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Dec 8, 2009
Last Updated: Dec 8, 2009

Practice Location

Address: 1250 S WHEELER ST
City: Jasper
State: Texas
ZIP Code: 75951-5120
Phone: (498) 381-8396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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