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Justin Russell
NPI 1114630456 · on the registry since 2023
Practice
- Address
- 2111 Highway 72 N
Loudon, TN 37774 - Phone
- (865) 458-9938
- Organisation at this address
- Walgreen Co
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee