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Individual

CHRISTOPHER DALE RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 425-4400
Mailing address
453 LONG RD, TULLY, NY 13159-9413
(315) 530-0091

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
067545
NY

Other

Enumeration date
08/27/2021
Last updated
08/27/2021
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