Organization
RUSSELL'S MR DISCOUNT DRUGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM BRUCE RUSSELL RPH (OWNER PHARMACIST)
(662) 834-1154
Entity
Organization
Contact information
Practice address
334 DEPOT ST, LEXINGTON, MS 39095-3607
(662) 834-0666
(662) 834-0681
Mailing address
334 DEPOT ST, LEXINGTON, MS 39095-3607
(662) 834-0666
(662) 834-0681
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
R06886
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440519
—
MS
Enumeration date
02/21/2007
Last updated
11/10/2011
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