Organization
RUSSELL'S PHARMACY & SHOPPE LLC
Active
Other names
Russell's Pharmacy & Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
DARIUS RUSSELL PHARMD (PHARMACIST MANAGER/OWNER)
(919) 908-1060
Entity
Organization
Contact information
Practice address
2116 ANGIER AVE, DURHAM, NC 27703-4260
(919) 908-1060
Mailing address
2116 ANGIER AVE, DURHAM, NC 27703-4260
(919) 908-1060
(919) 908-6362
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730671629
—
NC
Enumeration date
06/05/2018
Last updated
12/21/2018
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