Individual
KENDALL R RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1232 BRANSON HILLS PKWY STE 205, BRANSON, MO 65616-4188
(417) 336-4701
(417) 336-2772
Mailing address
1721 E JACQUELINE ST, SPRINGFIELD, MO 65804-4314
(417) 894-3540
(417) 336-2772
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044505
MO
Other
Enumeration date
09/22/2023
Last updated
09/28/2023
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