MR. Gary Lynn Russell, PD

NPI #1689746067 in Trumann, Arkansas

Provider Information

NPI Number: 1689746067
Entity Type: Individual
Name: MR. Gary Lynn Russell, PD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PD
Enumeration Date: Nov 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 305 W MAIN ST
City: Trumann
State: Arkansas
ZIP Code: 72472-3114
Phone: (870) 483-6325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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