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Individual

MRS. CONNIE LEE RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2244 MURFREESBORO RD, NASHVILLE, TN 37217-3313
(615) 367-0733
(615) 366-0964
Mailing address
2244 MURFREESBORO RD, NASHVILLE, TN 37217-3313
(615) 367-0733
(615) 366-0964

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4462
TN

Other

Enumeration date
10/16/2011
Last updated
10/16/2011
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