Individual
MRS. CAROLE ANN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
WALMART PHARMACY, 13675 US-43, RUSSELLVILLE, AL 35653
(256) 332-7394
Mailing address
1207 4TH ST NW P.O. BOX 1301, RED BAY, AL 35582-1301
(256) 810-9270
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11096
AL
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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