Organization
RUSSELL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY E. HOLLEY PHARMACIST (PHARMACY DIRECTOR)
(256) 329-7197
Entity
Organization
Contact information
Practice address
US HWY 280 BY-PASS, ALEXANDER CITY, AL 35010
(256) 329-7197
Mailing address
US 280 BYPASS, ALEXANDER CITY, AL 35010
(256) 329-7197
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
180124
AL
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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