Individual
MR. ERIC M. ROUSSELL SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1300 HIGHLAND AVENUE, SELMA, AL 36701
(334) 875-7309
(334) 877-4029
Mailing address
307 CRESTWOOD DRIVE, SELMA, AL 36701
(334) 874-7607
(334) 874-7607
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11571
AL
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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