Russell, Audrey M

Russell, Audrey M is an sole proprietor health care provider with primary practice located at 719 Hwy 19 South , Palatka FL 32177. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Russell, Audrey M can be contacted via phone (386) 328-6787.

Contact Information

Primary practice address
719 Hwy 19 South Palatka FL 32177
Phone: (386) 328-6787
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X RPT 17521 Florida

Profile Details

NPI number 1841549235
LBN Legal business name Russell, Audrey M
Credentials PHARMACY TECH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2012
Last updated Aug 31st, 2012 - about 12 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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