Individual
MS. ANNE MARY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
15300 S INTERSTATE 35, BUDA, TX 78610-9703
(512) 312-0907
Mailing address
15300 S INTERSTATE 35, BUDA, TX 78610-9703
(512) 312-0907
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35271
TX
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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