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Gregory Russell, PHARM.D
NPI 1376897660 · on the registry since 2012 · sole proprietor
Practice
- Address
- 414 E Dupont Rd
Fort Wayne, IN 46825 - Phone
- (260) 490-3447
- Fax
- (260) 490-3457
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-11-08
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 Indiana