Larry J & Bonnie P Russell
Larry J & Bonnie P Russell is a Pharmacy in Elizabethtown, Kentucky. Licensed in Kentucky. Registered with an NPI since 2005.
- Licensed in
- KY
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
910 N Dixie Ave Ste 105Elizabethtown, KY 42701-2519
Phone: (270) 769-3717
Fax: (270) 769-2887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X (KY) |
|---|---|
| Pharmacy | Taxonomy 333600000X · Licence P01397 (KY) |
Record details
| NPI number | 1710977442 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry Russell — Owner · (270) 769-3717 |
| Other names | The Medicine Shoppe |
| NPI enumerated | October 25, 2005 |
| Last updated in NPPES | March 7, 2023 |
| Mailing address | 910 N Dixie Ave Ste 105, Elizabethtown, KY 42701-2519 |
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