Jon Russell, R.Ph.
Pharmacist in Hazleton, PA. Individual provider (NPI-1).
NPI number1255463568
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1255463568
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jon Russell
- Credential
- R.Ph.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | RP039898L | PA | Yes |
Practice location
1 E Broad StHazleton, PA 18201-6520
Phone 570-454-2476
Mailing address
477 Strawberry LnMountain Top, PA 18707-1559
Phone 570-403-7785
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All 27 Pharmacist providers in Hazleton · All 542 providers in Hazleton
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