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Individual

DR. BRYSON RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD, MHA, MSC

Contact information

Practice address
2908 DUBLIN ST, MISSOULA, MT 59808-1917
(970) 388-2577
Mailing address
2908 DUBLIN ST, MISSOULA, MT 59808-1917
(970) 388-2577

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHA-PHA-LIC-78738
MT
183500000X
Pharmacist
Primary
PHA.0023429
CO

Other

Enumeration date
06/23/2025
Last updated
06/23/2025
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