Individual
KENNETH LAWRENCE RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 ALLEN TOUSSAINT BLVD, NEW ORLEANS, LA 70124-2560
(504) 282-2203
(504) 282-2209
Mailing address
101 ALLEN TOUSSAINT BLVD, NEW ORLEANS, LA 70124-2560
(504) 282-2203
(504) 282-2209
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
Q9N2E4L2
LA
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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