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1417009788
MARTIN ANTHONY RUSSELL
WASHINGTON, DC
NPI
1417009788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: MD 17407)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
-- MARTIN ANTHONY RUSSELL PharmD
WRAMC BLDG DEPT OF PHARMACY 6900 GEORGIA AVE NW
WASHINGTON, DC 20307-0001
Phone number: 202-782-6224
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Mailing Address
-- MARTIN ANTHONY RUSSELL PharmD
4808 DERUSSEY PKWY
CHEVY CHASE, MD 20815-5328
Phone number: 202-256-5952
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