Individual
RUSSEL WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
602 N DAVIS AVE, CLEVELAND, MS 38732-2356
(662) 843-0835
Mailing address
602 N DAVIS AVE, CLEVELAND, MS 38732-2356
(662) 843-0835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-16020
MS
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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