Organization
RUSSELL PHARMACY LLC
Active
Other names
City Drug
Organization subpart
No
Provider details
NPI number
Authorized official
HAMP RUSSELL (PHARMACIST OWNER)
(334) 263-6144
Entity
Organization
Contact information
Practice address
11 DEXTER AVE, MONTGOMERY, AL 36104-3514
(334) 263-6144
(334) 263-9897
Mailing address
11 DEXTER AVE, MONTGOMERY, AL 36104-3514
(334) 263-6144
(334) 263-9897
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
102415
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131008
PK
—
Enumeration date
07/26/2011
Last updated
08/20/2014
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