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:
Health care specialties
Specialty | Code | License # | 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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