Individual
MR. MARK RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2920 KNOXVILLE CENTER DR, KNOXVILLE, TN 37924-2013
(865) 637-0643
Mailing address
5118 JADE PASTURE LN, KNOXVILLE, TN 37918-8229
(865) 776-7131
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11307
TN
Other
Enumeration date
01/02/2017
Last updated
01/02/2017
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