Russell, Acquanetta

Russell, Acquanetta is an individual health care provider with primary practice located at 1400 Jackson St , Denver CO 80206-2761. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Russell, Acquanetta can be contacted via phone (303) 388-4461.

Contact Information

Primary practice address
1400 Jackson St Denver CO 80206-2761
Phone: (303) 388-4461
Fax: (303) 270-2174
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 002 Colorado

Profile Details

NPI number 1518017219
LBN Legal business name Russell, Acquanetta
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518017219 NPPES
Colorado Other 060105291689678 PHARMACY CERTIFICATION#

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