Individual
RUSSELL JAMES SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1122 HIGHWAY 61, WINONA, MN 55987-1957
(507) 454-6072
Mailing address
1122 HWY 61, WINONA, MN 55987-1957
(507) 454-6072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121042
MN
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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