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1710461306
MICHELLEA RUSSELL
SAN ANTONIO, TX
NPI
1710461306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 62647)
Enumeration Date
2018-09-19
Last Update Date
2018-09-19
Business Address
MICHELLEA RUSSELL Pharm. D.
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229-4404
Phone number: 210-617-5300
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Mailing Address
MICHELLEA RUSSELL Pharm. D.
574 PERSHING AVE
SAN ANTONIO, TX 78209-6623
Phone number: 410-476-1213
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