GARY STEPHEN RUSSELL

MADISONVILLE, KY
NPI1821691361
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: KY  008301)
Enumeration Date2020-11-18
Last Update Date2020-11-18
Business Address
GARY STEPHEN RUSSELL R.Ph.
1128 N MAIN ST STE 1
MADISONVILLE, KY 42431-1265
Phone number: 270-825-2775
Mailing Address
GARY STEPHEN RUSSELL R.Ph.
1128 N MAIN ST STE 1
MADISONVILLE, KY 42431-1265
Phone number: 270-825-2775