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1205825478
JAY C RUSSELL
WADSWORTH, OH
NPI
1205825478
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: OH 03-3-09809)
Enumeration Date
2005-10-19
Last Update Date
2007-07-08
Business Address
Mr. JAY C RUSSELL RPh
175 GREAT OAKS TRL
WADSWORTH, OH 44281-8712
Phone number: 330-336-3588
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Mailing Address
Mr. JAY C RUSSELL RPh
3747 POE RD
MEDINA, OH 44256-9791
Phone number: 330-722-3713
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