Devolder, Russell

Devolder, Russell is an individual health care provider with primary practice located at 425 7Th St Nw , Cass Lake MN 56633-3360. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Devolder, Russell can be contacted via phone (218) 335-3267.

Contact Information

Primary practice address
425 7Th St Nw Cass Lake MN 56633-3360
Phone: (218) 335-3267
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 21224 Iowa

Profile Details

NPI number 1972817013
LBN Legal business name Devolder, Russell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2010
Last updated Jul 30th, 2010 - about 14 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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