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1821429713
RUSSELL B HANES
FAYETTEVILLE, AR
NPI
1821429713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AR PD09508)
Enumeration Date
2013-12-03
Last Update Date
2013-12-03
Business Address
RUSSELL B HANES PHARMD
2690 E CITIZENS DR
FAYETTEVILLE, AR 72703-4339
Phone number: 479-571-6673
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Mailing Address
RUSSELL B HANES PHARMD
2690 E CITIZENS DR
FAYETTEVILLE, AR 72703-4339
Phone number: 479-571-6673
Copy
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