Individual
DR. BRIAN MICHAEL RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2585 MAIN ST, BUFFALO, NY 14214-2023
(716) 862-0511
Mailing address
2585 MAIN ST, BUFFALO, NY 14214-2023
(716) 862-0511
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
061346
NY
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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