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Individual

MR. RUSSELL THOMAS HARDWICK SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
8251 EASTCHASE PKWY, MONTGOMERY, AL 36117-7033
(334) 270-7459
(334) 270-7456
Mailing address
392 GLADE PARK DR, MONTGOMERY, AL 36109-1804
(334) 271-2489

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9880
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9880
PHARMACIST
AL
01
PS20306
PHARMACIST
FL
01
RPH018263
PHARMACIST
GA
Enumeration date
01/09/2007
Last updated
03/03/2015
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