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Individual

DR. COLLIN MICHAEL RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
3651 TOWNE BLVD, MIDDLETOWN, OH 45005-5516
(513) 420-3910
Mailing address
6694 STILLINGTON DR, LIBERTY TWP, OH 45011-9159

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03443635
OH

Other

Enumeration date
09/11/2023
Last updated
09/11/2023
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