Russell Michael Dea
Russell Michael Dea is a Pharmacist in LA Canada, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
4539 Lone Pine LnLA Canada, CA 91011-1555
Phone: (818) 439-3942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 89116 (CA) |
|---|
Record details
| NPI number | 1235994393 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 19, 2024 |
| Last updated in NPPES | February 19, 2024 |
| Certification date | February 18, 2024 |
| Mailing address | 4539 Lone Pine Ln, La Canada, CA 91011-1555 |
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