Family Pharmacy Of Russellville

LBN: Shoals Family Pharmacy Group Inc
Family Pharmacy Of Russellville is an health care organization with primary practice located at 455 Underwood Rd , Russellville AL 35653-4111. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Shoals Family Pharmacy Group Inc can be contacted via phone (256) 332-5545, or through Kiel, Jody via phone (256) 324-0268.

Contact Information

Primary practice address
455 Underwood Rd Russellville AL 35653-4111
Phone: (256) 332-5545
Fax: (256) 332-5582
Website:
Map and Directions
Authorized official contact:
Name: Kiel, Jody
Phone: (256) 324-0268

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 113307 Alabama

Profile Details

NPI number 1134454150
LBN Legal business name Shoals Family Pharmacy Group Inc
DBA Doing business as Family Pharmacy Of Russellville
Authorized official Kiel, Jody
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2009
Last updated Apr 12th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134454150 NPPES
Other 2122269 PK
MEDICAID 114855 PK

Popular Providers