Individual
MR. GREGG ALAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
126 W MAIN ST, HOMER, MI 49245-1046
(517) 568-3400
(517) 568-5608
Mailing address
126 W MAIN ST, HOMER, MI 49245-1046
(517) 568-3400
(517) 568-5608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302031145
MI
Other
Enumeration date
08/02/2006
Last updated
01/09/2009
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