Individual
DR. JADE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
210 E EMMITT AVE, WAVERLY, OH 45690-1336
(740) 947-2126
(740) 947-4149
Mailing address
210 E EMMITT AVE, WAVERLY, OH 45690-1336
(740) 947-2126
(740) 947-4149
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03444232
OH
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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