Individual
ALAN DUANE ROUSSELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 W MAIN ST, INDEPENDENCE, KS 67301-3514
(620) 331-7594
Mailing address
5056 CR 4500, INDEPENDENCE, KS 67301-7569
(620) 515-1945
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
09710
KS
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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