Larry J & Bonnie P Russell

NPI #1710977442 in Elizabethtown, Kentucky

Provider Information

NPI Number
1710977442
Entity Type
Organization
Organization Name
Larry J & Bonnie P Russell
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 25, 2005
Last Updated
Mar 7, 2023

Practice Location

Address
910 N DIXIE AVE STE 105
ZIP Code
42701-2519
Phone
(270) 769-3717

Authorized Official

Name
MR. LARRY RUSSELL, R.PH.
Title
OWNER
Phone
(270) 769-3717

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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