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1023422458
EDWARD RUSSELL
SCOTTSDALE, AZ
NPI
1023422458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ s017877)
Enumeration Date
2014-06-13
Last Update Date
2014-06-13
Business Address
Mr. EDWARD RUSSELL R.PH.
8257 E HOVERLAND RD
SCOTTSDALE, AZ 85255-3909
Phone number: 618-925-5360
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Mailing Address
Mr. EDWARD RUSSELL R.PH.
8257 E HOVERLAND RD
SCOTTSDALE, AZ 85255-3909
Phone number: 618-925-5360
Copy
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