SUSAN ANN RUSSELL

SAN FIDEL, NM
NPI1811000441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: NM  00005516)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
MRS. SUSAN ANN RUSSELL RPH
I-40, EXIT 102
SAN FIDEL, NM 87049
Phone number: 505-552-5394
Mailing Address
MRS. SUSAN ANN RUSSELL RPH
804 WASHINGTON AVE
GRANTS, NM 87020-3025
Phone number: 505-552-5394
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