Individual
DR. AUDREY ANN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
605A W 12TH ST, LAMAR, MO 64759-1703
(417) 682-5838
(417) 682-5811
Mailing address
605A W 12TH ST, LAMAR, MO 64759-1703
(417) 682-5838
(417) 682-5811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2002027580
MO
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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