Individual
DR. BOBBY JAMES RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
705 E REELFOOT AVE, UNION CITY, TN 38261-5883
(731) 885-9441
(731) 885-7861
Mailing address
705 E REELFOOT AVE, UNION CITY, TN 38261-5883
(731) 885-9441
(731) 885-7861
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
358
TN
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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