MARK RUSSELL

LOGAN, UT
NPI1841572120
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: UT  7284773-1701)
Enumeration Date2011-09-13
Last Update Date2011-09-13
Business Address
-- MARK RUSSELL PharmD, RPh
999 N MAIN ST
LOGAN, UT 84321-3230
Phone number: 435-227-1100
Mailing Address
-- MARK RUSSELL PharmD, RPh
14 S 490 E
SMITHFIELD, UT 84335-1220
Phone number: 435-563-2777
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