Marita Ann Russell-Leslie, RPH

NPI #1740504505 in Bayville, New York

Provider Information

NPI Number: 1740504505
Entity Type: Individual
Name: Marita Ann Russell-Leslie, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Mar 23, 2010
Last Updated: Mar 23, 2010

Practice Location

Address: 253 BAYVILLE AVE
City: Bayville
State: New York
ZIP Code: 11709-1670
Phone: (516) 628-3640

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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