MR. Ryan Russell, PHARMD

NPI #1669823647 in Lewiston, Idaho

Provider Information

NPI Number: 1669823647
Entity Type: Individual
Name: MR. Ryan Russell, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jun 30, 2016
Last Updated: Jun 30, 2016

Practice Location

Address: 415 6TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501-2431
Phone: (208) 799-5626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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