Individual
JOSEPH PAUL RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
204 E BRUNSON ST, ENTERPRISE, AL 36330-1922
(334) 347-6865
(334) 393-0679
Mailing address
204 E BRUNSON ST, P O BOX 311688, ENTERPRISE, AL 36330-1922
(334) 347-6865
(334) 393-0679
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10723
AL
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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