Mr Kenneth Royal Russell Jr, DPH | |
310 W Losey St, Scott Afb, IL 62225-5250 | |
(618) 256-7345 | |
Not Available |
Full Name | Mr Kenneth Royal Russell Jr |
---|---|
Gender | Male |
Speciality | Pharmacist |
Location | 310 W Losey St, Scott Afb, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285719799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
183500000X | Pharmacist | 10399 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
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Mr Kenneth Royal Russell Jr, DPH 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-9028 | Mr Kenneth Royal Russell Jr, DPH 310 W Losey St, Scott Afb, IL 62225-5250 Ph: (618) 256-7345 |
Mr. Sean J Mcnamara, RPH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-6150 Fax: 618-256-7634 | |
Emily Ann Svezia, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 Phone: 618-256-7345 Fax: 618-256-4603 | |
Dr. Paul T. Michaud, PHARMD, MS Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 310 Losey Street, 375th Medical Group, Scott Afb, IL 62225 Phone: 618-256-9355 | |
Natasha A Vaughn, PHARMACIST Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 310 W Losey St, Scott Afb, IL 62225 Phone: 618-256-7211 | |
Dr. Karen S. Fraley, PHARM D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 310 W Losey St, 375 Mdss/sgsp, Scott Afb, IL 62225 Phone: 618-256-4741 Fax: 618-256-4303 | |
Brett Garland Perlberg, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 375th Medical Group, 310 West Losey Street, Scott Afb, IL 62225 Phone: 618-256-7345 |