| NPI | 1114938784 |
|---|---|
| Doing Business As | RUSSELLVILLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RODNEY LOGAN President CEO 256-314-1434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: AL 112837) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2012-09-17 |