Individual
MR. EDWARD RUSSELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
8257 E HOVERLAND RD, SCOTTSDALE, AZ 85255-3909
(618) 925-5360
Mailing address
8257 E HOVERLAND RD, SCOTTSDALE, AZ 85255-3909
(618) 925-5360
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S017877
AZ
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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