Lyan Russell, PHARMD
NPI #1376144964 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1376144964
- Entity Type
- Individual
- Name
- Lyan Russell, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Nov 2, 2020
- Last Updated
- Nov 27, 2023
Practice Location
- Address
- 1770 S ELM PL
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-6453
- Phone
- (918) 258-6185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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