Organization
SHOALS FAMILY PHARMACY GROUP INC
Active
Other names
Hometown Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE WELBORN (OWNER)
(256) 332-7400
Entity
Organization
Contact information
Practice address
609 GANDY ST NE, RUSSELLVILLE, AL 35653-1911
(256) 332-7400
(256) 332-7490
Mailing address
609 GANDY ST NE, RUSSELLVILLE, AL 35653-1911
(256) 332-7400
(256) 332-7490
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
112971
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115783
—
AL
01
—
2123137
PK
—
Enumeration date
07/16/2007
Last updated
08/18/2025
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