Individual
DANIELLE MARIE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
2884 HIGHWAY 17 BYP N, MT PLEASANT, SC 29466-8915
(843) 216-7021
Mailing address
2884 HIGHWAY 17 BYP N, MT PLEASANT, SC 29466-8915
(843) 216-7021
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8904
SC
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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