Individual
MR. THOMAS WOODROW RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4299 WINSTON AVE, COVINGTON, KY 41015-1709
(859) 291-4722
(859) 291-5429
Mailing address
4299 WINSTON AVE, COVINGTON, KY 41015-1709
(859) 291-4722
(859) 291-5429
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008217
KY
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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