Cabanaw, Russell

Cabanaw, Russell is an individual health care provider with primary practice located at 620 Skyline Dr , Jackson TN 38301-3923. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Cabanaw, Russell can be contacted via phone (731) 541-8030.

Contact Information

Primary practice address
620 Skyline Dr Jackson TN 38301-3923
Phone: (731) 541-8030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X 29374 Tennessee

Profile Details

NPI number 1205547734
LBN Legal business name Cabanaw, Russell
Credentials PHARMD, BCACP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2022
Last updated Dec 6th, 2022 - about 2 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.

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