Individual
DR. CHARLES RUSSELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1180 N INDIAN CANYON DR STE E140, PALM SPRINGS, CA 92262-4883
(760) 323-1001
Mailing address
30351 REDDING AVE, MURRIETA, CA 92563-3375
(619) 822-4232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
83268
CA
Other
Enumeration date
01/02/2021
Last updated
01/02/2021
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