Individual
MS. DARLA J RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
7227 N 16TH ST STE 160, PHOENIX, AZ 85020-5293
(602) 648-6252
(602) 678-0941
Mailing address
15210 N 44TH PL, PHOENIX, AZ 85032-4872
(602) 214-8462
(602) 678-0941
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S10106
AZ
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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