Individual
DONALD LOWELL RUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
WALMART, 905 S COLLEGE AVE, RENSSELAER, IN 47978
(219) 866-0466
(219) 866-0456
Mailing address
2350 W BUNKUM RD, RENSSELAER, IN 47978-8902
(219) 863-8114
(219) 866-0456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014128A
IN
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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