Individual provider · Type 1 NPI

Kenneth Royal Russell Jr., DPH

Pharmacist · Scott Afb, IL

NPI number 1285719799 Active

Practice location

310 W Losey St
Scott Afb, IL 62225-5250

Call (618) 256-7345 Map

Mailing address

4881 Sugar Maple Dr
Wright Patterson Afb, OH 45433-5529

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X10399 (OK)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1285719799

Kenneth Royal Russell Jr., DPH's National Provider Identifier is 1285719799, issued on Oct 25, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Scott Afb, IL. The record was last updated on Apr 19, 2018.