Individual
RUSSELL SHELDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
310 W FRONT ST, EVERGREEN, AL 36401-2837
(251) 578-5061
Mailing address
310 W FRONT ST, EVERGREEN, AL 36401-2837
(251) 578-5061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12054
AL
183500000X
Pharmacist
PS26591
FL
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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