Individual provider · Type 1 NPI

Russell Daniel Gardner, RPH

Pharmacist · Joshua, TX

NPI number 1104977917 Active

Practice location

3521 B SW Wilshire
Joshua, TX 76058

Fax (817) 484-3628

Mailing address

164 SW Brushy Mound Rd
Burleson, TX 76028-3321

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X26372 (TX)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104977917

Russell Daniel Gardner, RPH's National Provider Identifier is 1104977917, issued on Jan 16, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Joshua, TX. The record was last updated on Jul 8, 2007.