Individual
RUSSELL M EASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
138 SUDDERTH DR, RUIDOSO, NM 88345-6025
(575) 257-1566
(575) 257-4600
Mailing address
138 SUDDERTH DR, RUIDOSO, NM 88345-6025
(575) 257-1566
(575) 257-4600
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00005701
NM
Other
Enumeration date
09/03/2009
Last updated
10/12/2009
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