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Larry J & Bonnie P Russell
Community/Retail Pharmacy in Elizabethtown, Kentucky
NPI 1710977442

Larry J & Bonnie P Russell is a Community/Retail Pharmacy based in Elizabethtown, KY and is specialized in Community/Retail Pharmacy. Larry J & Bonnie P Russell practices in Elizabethtown, KY. The NPI Number for Larry J & Bonnie P Russell is 1710977442 and holds a License No. P01397 (Kentucky).

The current practice location address for Larry J & Bonnie P Russell is 910 N Dixie Ave Ste 105, Elizabethtown, KY and can be reached out via phone at 270-769-3717 and via fax at 270-769-2887. You can also correspond with Larry J & Bonnie P Russell through the mailing address at 910 N DIXIE AVE STE 105, ELIZABETHTOWN, KY - 42701-2519 (mailing address contact number: 270-769-3717).

Location: 910 N Dixie Ave Ste 105, Elizabethtown, KY, 42701-2519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710977442
Provider Name
Larry J & Bonnie P Russell
Credential
Provider Entity Type
Organization
Address
910 N Dixie Ave Ste 105, Elizabethtown, KY, 42701-2519
Phone Number
270-769-3717
Fax Number
270-769-2887
Provider Enumeration Date
10/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1813131 01 KY NCPDP #
5401676100 05 KY
institution
Provider Business Practice Location Address Details
Address
910 N Dixie Ave Ste 105
City
Elizabethtown
State
Kentucky
Zip
42701-2519
Phone Number
270-769-3717
Fax Number
270-769-2887
person
Provider Business Mailing Address Details
Address
910 N Dixie Ave Ste 105
City
Elizabethtown
State
Kentucky
Zip
42701-2519
Phone Number
270-769-3717
Fax Number
270-769-2887
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
(Kentucky)
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 prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
P01397 (Kentucky)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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