Anthony Theodore Russell
Anthony Theodore Russell is a Pharmacist in Goodyear, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2023
Practice location Address checks out
440 N Estrella PkwyGoodyear, AZ 85338-3024
Phone: (623) 476-1712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence S026535 (AZ) |
|---|
Record details
| NPI number | 1033891890 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 2, 2023 |
| Last updated in NPPES | August 2, 2023 |
| Certification date | August 2, 2023 |
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Jackellyn Veronica Reeves
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