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1508159195
RUSSELL CHILDRESS
HIGH POINT, NC
NPI
1508159195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NC 11721)
Enumeration Date
2011-05-16
Last Update Date
2013-03-06
Business Address
-- RUSSELL CHILDRESS R.Ph.
914 E GREEN DR
HIGH POINT, NC 27260-6716
Phone number: 336-884-2261
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Mailing Address
-- RUSSELL CHILDRESS R.Ph.
3005 PENINSULA DR
JAMESTOWN, NC 27282-7500
Phone number:
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