Individual
ADAM RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
48 CONGRESS ST, MORRISVILLE, VT 05661
(802) 888-2226
Mailing address
PO BOX 731, MORRISVILLE, VT 05661-0731
(802) 888-2226
(802) 888-4719
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0069798
VT
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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