Mark Russell, PHARMD, RPH

NPI #1841572120 in Logan, Utah

Provider Information

NPI Number: 1841572120
Entity Type: Individual
Name: Mark Russell, PHARMD, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD, RPH
Enumeration Date: Sep 13, 2011
Last Updated: Sep 13, 2011

Practice Location

Address: 999 N MAIN ST
City: Logan
State: Utah
ZIP Code: 84321-3230
Phone: (435) 227-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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