Individual
DR. DEVIN JORDAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
126 MARKET ST, RED BOILING SPRINGS, TN 37150-2271
(615) 699-2509
(615) 699-4139
Mailing address
PO BOX 59, RED BOILING SPRINGS, TN 37150-0059
(615) 699-2509
(615) 699-4139
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000028852
TN
Other
Enumeration date
12/13/2011
Last updated
09/27/2023
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