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Organization
SHOALS FAMILY PHARMACY GROUP INC
Active
Organization
SHOALS FAMILY PHARMACY GROUP INC
Active
Other names
Family Pharmacy of Russellville
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY HEATH LANE (PHARMACIST)
(256) 332-5545
Entity
Organization
Contact information
Practice address
455 UNDERWOOD RD, RUSSELLVILLE, AL 35653-4111
(256) 332-5545
(256) 332-5582
Mailing address
455 UNDERWOOD RD, RUSSELLVILLE, AL 35653-4111
(256) 332-5545
(256) 332-5582
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
113307
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114855
—
AL
01
—
2122269
PK
—
Enumeration date
10/08/2009
Last updated
05/07/2026
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