Individual
CAROL ANN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15801 PACIFIC AVE S, TACOMA, WA 98444-6904
(253) 561-7427
(253) 535-9279
Mailing address
15801 PACIFIC AVE S, TACOMA, WA 98444-6904
(253) 531-7427
(253) 535-9279
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
VA00021327
WA
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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