Agee, Russell Lynn
Agee, Russell Lynn is an sole proprietor health care provider with primary practice located at 614 Brandon Ave Sw , Roanoke VA 24015-3212. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Agee, Russell Lynn can be contacted via phone (540) 342-9897.Contact Information
Primary practice address
614 Brandon Ave Sw
Roanoke VA 24015-3212
Phone: (540) 342-9897
Fax: (540) 342-5910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 0202010009 | Virginia |
Profile Details
| NPI number | 1326341157 |
|---|---|
| LBN Legal business name | Agee, Russell Lynn |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2010 |
| Last updated | Dec 16th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326341157 | NPPES |
| Virginia | Other | 0202010009 | VIRGINIA PHARMACIST LICENSE NUMBER |
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