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Russell Roark, R.PH

NPI 1891109351 · on the registry since 2014

Practice

Address
5251 Cypress Street
West Monroe, LA 71291
Phone
(318) 267-3505
Organisation at this address
Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-07-22

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 Louisiana