Individual
ARIEN BYRON RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2411 TEXAS AVE S, COLLEGE STATION, TX 77840-4633
(979) 693-8085
Mailing address
2411 TEXAS AVE S, COLLEGE STATION, TX 77840-4633
(979) 693-8085
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
69196
TX
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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