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1033654967
MARK RUSSELL
KNOXVILLE, TN
NPI
1033654967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 11307)
Enumeration Date
2017-01-02
Last Update Date
2017-01-02
Business Address
Mr. MARK RUSSELL pharmd
2920 KNOXVILLE CENTER DR
KNOXVILLE, TN 37924-2013
Phone number: 865-637-0643
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Mailing Address
Mr. MARK RUSSELL pharmd
5118 JADE PASTURE LN
KNOXVILLE, TN 37918-8229
Phone number: 865-776-7131
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