Individual
BRIAN SCOTT RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, RPH, DPH, BCMTMS
Contact information
Practice address
12709 TAYMAN FARM RD, BRANDYWINE, MD 20613-2406
(405) 417-1604
Mailing address
12709 TAYMAN FARM RD, BRANDYWINE, MD 20613-2406
(405) 417-1604
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12718
OK
183500000X
Pharmacist
Primary
PS47447
FL
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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