Individual
EMMA GRACE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
703 PATRICK HENRY ST, RED BAY, AL 35582-3640
(256) 460-8306
Mailing address
703 PATRICK HENRY ST, RED BAY, AL 35582-3640
(256) 460-8306
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S13894
AL
Other
Enumeration date
03/25/2025
Last updated
09/06/2025
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