Individual
SHAWN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
510 UPPER CHESAPEAKE DR, SUITE 414, BEL AIR, MD 21014-4328
(443) 643-3190
(443) 643-3195
Mailing address
510 UPPER CHESAPEAKE DR, SUITE 414, BEL AIR, MD 21014-4328
(443) 643-3190
(443) 643-3195
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18348
MD
Other
Enumeration date
09/23/2009
Last updated
09/26/2009
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