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Mr. Kenneth Royal Russell JR., DPH
Pharmacist in Scott Afb, Illinois
NPI 1285719799

Kenneth Royal Russell JR. is a Pharmacist based in Wright Patterson Afb, IL. Kenneth Royal Russell JR. practices in Scott Afb, IL and has the professional credentials of DPH. The NPI Number for Kenneth Royal Russell JR. is 1285719799 and holds a License No. 10399 (Illinois).

The current practice location address for Kenneth Royal Russell JR. is 310 W Losey St, Scott Afb, IL and can be reached out via phone at 618-256-7345.

Location: 310 W Losey St, Scott Afb, IL, 45433-5529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285719799
Provider Name
Kenneth Royal Russell JR.
Credential
DPH
Provider Entity Type
Individual
Gender
Male
Address
310 W Losey St, Scott Afb, IL, 45433-5529
Phone Number
618-256-7345
Fax Number
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
310 W Losey St
City
Scott Afb
State
Illinois
Zip
62225-5250
Phone Number
618-256-7345
Fax Number
person
Provider Business Mailing Address Details
Address
310 W Losey St
City
Scott Afb
State
Illinois
Zip
62225-5250
Phone Number
618-256-7345
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
10399 (Oklahoma)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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