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1780674408
BONNIE PORTER RUSSELL
ELIZABETHTOWN, KY
NPI
1780674408
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 006991)
Enumeration Date
2005-10-25
Last Update Date
2007-07-08
Business Address
Mrs. BONNIE PORTER RUSSELL R.Ph.
910 N DIXIE AVE
ELIZABETHTOWN, KY 42701-2519
Phone number: 270-769-3717
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Mailing Address
Mrs. BONNIE PORTER RUSSELL R.Ph.
40 HOLLY HILL DR
ELIZABETHTOWN, KY 42701-8917
Phone number: 270-737-4245
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