Individual
DR. LEAH MICHELLE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 919-2403
Mailing address
217 AZALEA CT, BRANDON, MS 39047-7992
(601) 919-2403
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
PS29817
FL
Other
Enumeration date
05/20/2006
Last updated
07/08/2007
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