Individual
DR. JEFFREY L RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
35 25TH ST NW, CLEVELAND, TN 37311-3830
(423) 614-4810
Mailing address
135 POWHATAN DR NE, CLEVELAND, TN 37323-5780
(423) 584-5287
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46492
TN
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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