Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holly Russell

Individual provider Pharmacist · NPI 1548860158

Holly Russell is a Pharmacist in Desloge, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2020

Practice location Address checks out

407 N State St
Desloge, MO 63601-3053
Phone: (573) 431-8563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2014026385 (MO)

Record details

NPI number1548860158
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 1, 2020
Last updated in NPPESNovember 1, 2020
Certification dateNovember 1, 2020
Mailing addressPo Box 324, Farmington, MO 63640-0324

Other providers in Desloge