Individual
MR. RUSSELL JAY RAGSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
127 S 500 E, SUITE 160, SALT LAKE CITY, UT 84102-1959
(801) 587-6311
(801) 587-6318
Mailing address
127 S 500 E, SUITE 160, SALT LAKE CITY, UT 84102-1959
(801) 587-6311
(801) 587-6318
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
151801-1701
UT
Other
Enumeration date
07/12/2005
Last updated
08/17/2007
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