Individual
DAMONN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6860 SUMMER AVE, BARTLETT, TN 38134-4743
(901) 382-7180
Mailing address
6860 SUMMER AVE, BARTLETT, TN 38134-4743
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
34480
TN
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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