Meridith, Russell David

Meridith, Russell David is an sole proprietor health care provider with primary practice located at 1490 Mexico Loop Rd E , O Fallon MO 63366-6015. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Meridith, Russell David can be contacted via phone (636) 978-1602.

Contact Information

Primary practice address
1490 Mexico Loop Rd E O Fallon MO 63366-6015
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 029741 Missouri

Profile Details

NPI number 1366725350
LBN Legal business name Meridith, Russell David
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2011
Last updated Sep 26th, 2011 - about 13 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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