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
—
—
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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