Individual
COURTNEY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2021 N BROADWAY ST, KNOXVILLE, TN 37917-5808
(865) 525-4189
Mailing address
2021 N BROADWAY ST, KNOXVILLE, TN 37917-5808
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000043172
TN
Other
Enumeration date
05/06/2020
Last updated
03/09/2023
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