NPI 1154003929

Kenneth Lawrence Russ

Practitioner Pharmacy Technician New Orleans, LA

Practice location

Address: 101 Allen Toussaint Blvd, New Orleans, LA 70124-2560
Phone: (504) 282-2203
Fax: (504) 282-2209

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence Q9N2E4L2 (LA)

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Registry record

NPI: 1154003929
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Aug 2023
Record last updated: 2 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.