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Organization
RUSSELL'S PHARMACY, INC
Active
Organization
RUSSELL'S PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH THOMAS STEWART DPH (PRESIDENT/PHARMACIST)
(901) 327-7323
Entity
Organization
Contact information
Practice address
2455 CHELSEA AVE, MEMPHIS, TN 38108-2404
(901) 327-7323
(901) 323-0228
Mailing address
2455 CHELSEA AVE, MEMPHIS, TN 38108-2404
(901) 327-7323
(901) 323-0228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
840
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3546583
—
TN
01
—
840
STATE PHARMACY NUMBER
TN
Enumeration date
07/09/2005
Last updated
03/07/2023
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