Mr Martin David Russell, RPH | |
561 Norwich Ave, Franklin Furnace, OH 45629-8892 | |
(740) 354-9983 | |
(740) 354-9978 |
Full Name | Mr Martin David Russell |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 561 Norwich Ave, Franklin Furnace, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003928151 | NPI | - | NPPES |
0382983 | Medicaid | OH | |
311473412-00 | Other | OH | WORKER COMP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 020961900 (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Martin David Russell, RPH 561 Norwich Ave, Franklin Furnace, OH 45629-8892 Ph: (740) 354-9983 | Mr Martin David Russell, RPH 561 Norwich Ave, Franklin Furnace, OH 45629-8892 Ph: (740) 354-9983 |
Philip Walter Ruark, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 561 Norwich Ave, Franklin Furnace, OH 45629 Phone: 740-354-9983 | |
Jeana Weigand, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 561 Norwich Ave, Franklin Furnace, OH 45629 Phone: 740-354-9983 Fax: 740-954-9978 |