NPI 1134957327

Delvin Russell, PHARMD

Practitioner Prevention Professional Memphis, TN

Practice location

Address: 6019 Walnut Grove Rd, Memphis, TN 38120-2113
Phone: (901) 226-5000
Mailing address: 3549 Greenside Dr APT 303, Memphis, TN 38125-0719

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 47550 (TN)

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Registry record

NPI: 1134957327
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2024
Record last updated: 22 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.