Larry J & Bonnie P Russell in Elizabethtown - Pharmacy
Larry J & Bonnie P Russell - NPI 1710977442
Larry J & Bonnie P Russell is a Pharmacy in Elizabethtown, Kentucky. Larry J & Bonnie P Russell practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Larry J & Bonnie P Russell is 1710977442. The last update date is 2023-03-07.
Larry J & Bonnie P Russell's current location address is 910 N Dixie Ave Ste 105, Elizabethtown, Kentucky. You can contact this provider via phone number 2707693717 and fax number 2707692887. The mailing address for Larry J & Bonnie P Russell is 910 N Dixie Ave Ste 105, Elizabethtown, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Larry J & Bonnie P Russell |
|---|---|
| Address | 910 N Dixie Ave Ste 105, Elizabethtown, Kentucky |
| Phone Number | 2707693717 |
| Fax Number | 2707692887 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Russell Larry |
| Credentials | R.PH. |
| Telephone Number | 2707693717 |
NPI Number Detail
| NPI Number | 1710977442 |
|---|---|
| Provider Enumeration Date | 2005-10-25 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 910 N Dixie Ave Ste 105 |
|---|---|
| City | Elizabethtown |
| State | Kentucky (KY) |
| Post Code | 427012519 |
| Phone Number | 2707693717 |
| Fax Number | 2707692887 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | P01397 |
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Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1813131 | KY | NCPDP # | |
| 5401676100 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Larry J & Bonnie P Russell by the Centers for Medicare & Medicaid Services?
The Larry J & Bonnie P Russell has been issued the NPI (National Provider Identifier) 1710977442 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Larry J & Bonnie P Russell's physical address?
The Larry J & Bonnie P Russell is physically located at 910 N Dixie Ave Ste 105, in the city of Elizabethtown, KY, with the postal code 427012519.
What is the area of specialization for Larry J & Bonnie P Russell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Larry J & Bonnie P Russell is Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 333600000X.
On what date did the Larry J & Bonnie P Russell receive the assignment of its 1710977442 from the Centers for Medicare & Medicaid Services?
The Larry J & Bonnie P Russell was issued its 1710977442 by the Centers for Medicare & Medicaid Services on 2005-10-25.
As of what date were the details pertaining to Larry J & Bonnie P Russell last refreshed?
The information related to the Larry J & Bonnie P Russell, including its address, specialty, and other relevant details, was last updated on 2023-03-07.
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