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1811987431
LARRY JAMES RUSSELL
ELIZABETHTOWN, KY
NPI
1811987431
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 006992)
Enumeration Date
2005-10-25
Last Update Date
2007-07-08
Business Address
Mr. LARRY JAMES RUSSELL R.Ph.
40 HOLLY HILL DR
ELIZABETHTOWN, KY 42701-8917
Phone number: 270-737-4245
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Mailing Address
Mr. LARRY JAMES RUSSELL R.Ph.
40 HOLLY HILL DR
ELIZABETHTOWN, KY 42701-8917
Phone number: 270-737-4245
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