Individual
DR. KRISTYE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5891 W EUGIE AVE, GLENDALE, AZ 85304-1252
(602) 588-6600
Mailing address
11567 W PARKWAY LN, AVONDALE, AZ 85323-4300
(623) 262-3032
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
S021589
AZ
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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