Individual
RUSSELL YOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1033 LONGFELLOW ST, LIBERTY, MO 64068-1479
(816) 812-6736
Mailing address
1033 LONGFELLOW ST, LIBERTY, MO 64068-1479
(816) 812-6736
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042833
MO
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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