MEDICARE: DR. RUSSELL BRIAN APPLEBY PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	049167	NY

General Provider Information

NPI Number	:	1144298241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUSSELL BRIAN APPLEBY PHARM.D.

Provider Business Mailing Address
First Line	:	728 FISHER CREEK RD
Second Line	:
City	:	SYLVA
State	:	NC
Zip	:	28779-7708
Country	:	US
Telephone Number	:	828-497-9163
Fax Number	:

Provider Business Practice Location Address
First Line	:	728 FISHER CREEK RD
Second Line	:
City	:	SYLVA
State	:	NC
Zip	:	28779-7708
Country	:	US
Telephone Number	:	828-497-9163
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/08/2007

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