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1275818148
DAN L RUSSELL
MONROE, LA
NPI
1275818148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: LA 13984)
Enumeration Date
2011-10-11
Last Update Date
2011-10-11
Business Address
Mr. DAN L RUSSELL Rph
1710 LOUISVILLE AVE.
MONROE, LA 71201
Phone number: 318-322-3141
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Mailing Address
Mr. DAN L RUSSELL Rph
3521 PEGRAM CR.
MONROE, LA 71201
Phone number: 318-322-8048
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