Heather Michele Russell

NPI #1831722578 in El Dorado, Arkansas

Provider Information

NPI Number: 1831722578
Entity Type: Individual
Name: Heather Michele Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 21, 2020
Last Updated: Feb 21, 2020

Practice Location

Address: 2202 N WEST AVE
City: El Dorado
State: Arkansas
ZIP Code: 71730-3352
Phone: (870) 864-0107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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