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1740995364
CHARLES LUKE RUSSELL
MIAMI, FL
NPI
1740995364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: FL 29741)
Enumeration Date
2023-01-18
Last Update Date
2023-01-18
Business Address
CHARLES LUKE RUSSELL
1611 NW 12TH AVE
MIAMI, FL 33136-1005
Phone number: 305-585-5389
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Mailing Address
CHARLES LUKE RUSSELL
16198 SW 29TH ST
MIRAMAR, FL 33027-5217
Phone number: 195-444-1542
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