Individual
DR. EMILY JANE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
110 PRICE AVE, AIKEN, SC 29803-7395
(803) 648-1776
Mailing address
110 PRICE AVE, AIKEN, SC 29803-7395
(803) 648-1776
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
37662
SC
183500000X
Pharmacist
RPH030104
GA
Other
Enumeration date
08/21/2017
Last updated
02/13/2020
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