DR. Ryan Michael Russell, PHARMD.

NPI #1245465467 in Bridgeton, Missouri

Provider Information

NPI Number: 1245465467
Entity Type: Individual
Name: DR. Ryan Michael Russell, PHARMD.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD.
Enumeration Date: May 18, 2009
Last Updated: Dec 21, 2016

Practice Location

Address: 12266 DE PAUL DR
Address 2: SUITE 105
City: Bridgeton
State: Missouri
ZIP Code: 63044-2514
Phone: (314) 344-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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