Individual
RUSSELL RAYMOND SCOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
305 CENTER STREET, EAST CARBON, UT 84520
(435) 888-0422
(435) 888-0860
Mailing address
PO BOX 930, EAST CARBON, UT 84520-0930
(435) 888-0422
(435) 888-0860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7043180-1701
UT
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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