Individual
HEATHER MICHELE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2202 N WEST AVE, EL DORADO, AR 71730-3352
(870) 864-0107
Mailing address
127 HARDING AVE, CAMDEN, AR 71701-3623
(870) 833-1513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD13680
AR
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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