LARRY JAMES RUSSELL

ELIZABETHTOWN, KY
NPI1811987431
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy183500000X Pharmacist
(Licence: KY  006992)
Enumeration Date2005-10-25
Last Update Date2007-07-08
Business Address
MR. LARRY JAMES RUSSELL R.PH.
40 HOLLY HILL DR
ELIZABETHTOWN, KY 42701-8917
Phone number: 270-737-4245
Mailing Address
MR. LARRY JAMES RUSSELL R.PH.
40 HOLLY HILL DR
ELIZABETHTOWN, KY 42701-8917
Phone number: 270-737-4245