Russell, Trae A

Russell, Trae A is an sole proprietor health care provider with primary practice located at 2150 E Dublin Granville Rd , Columbus OH 43235-4110. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Russell, Trae A can be contacted via phone (614) 523-1165.

Contact Information

Primary practice address
2150 E Dublin Granville Rd Columbus OH 43235-4110
Phone: (614) 523-1165
Fax: (614) 523-1386
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 03324175 Ohio
Pharmacy Service Providers / Pharmacist 183500000X 03324175 Ohio

Profile Details

NPI number 1871874255
LBN Legal business name Russell, Trae A
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2011
Last updated Jun 26th, 2023 - 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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