LARRY J & BONNIE P RUSSELL
Pharmacy at Dixie Ave, Glendale, KY

License number
Kentucky P01397
Category
Suppliers
Type
Pharmacy
Owner
Name: MR. LARRY RUSSELL R.PH.
Title: OWNER
Phone: (270) 769-3717
Address
Address
910 N Dixie Ave STE 105, Glendale, KY 42701
National Provider ID: 1710977442
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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