Doctor Name: | MISS AUDREY M RUSSELL |
NPI Number: | 1841549235 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHARMACY TECH |
License Number: | RPT 17521 |
Business Practice Address: | 719 Hwy 19 South Palatka, FL - 32177 |
Business Phone Number: | 3863286787 |
Business Fax Number: | |
Mailing Address: | 101 Sanjan Dr, SATSUMA |
State: | FL |
Postal Code: | 321892134 |
Phone Number: | 3863281338 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2012 |
NPI Last Update Date: | 08/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | RPT 17521 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |