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1093980146
JOSEPH PAUL RUSSELL
ENTERPRISE, AL
NPI
1093980146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: AL 10723)
Enumeration Date
2008-04-29
Last Update Date
2008-04-29
Business Address
-- JOSEPH PAUL RUSSELL rph
204 E BRUNSON ST
ENTERPRISE, AL 36330-1922
Phone number: 334-347-6865
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Mailing Address
-- JOSEPH PAUL RUSSELL rph
204 E BRUNSON ST P O BOX 311688
ENTERPRISE, AL 36330-1922
Phone number: 334-347-6865
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