DR. Michael Russell, PHARMD

NPI #1780289504 in Sullivan, Illinois

Provider Information

NPI Number
1780289504
Entity Type
Individual
Name
DR. Michael Russell, PHARMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARMD
Enumeration Date
Dec 1, 2020
Last Updated
Dec 1, 2020

Practice Location

Address
208 W JACKSON ST
ZIP Code
61951-1454
Phone
(217) 728-7216

Specialties & Taxonomy Codes

Specialty
Pharmacist

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