Individual provider · Type 1 NPI

Russell E. Anderson

Pharmacist · Fox Lake, IL

NPI number 1124328794 Active

Practice location

1258 S Route 12
Fox Lake, IL 60020-1950

Call (847) 587-4966 Map

Fax (847) 587-4731

Mailing address

1350 S Route 12
Fox Lake, IL 60020-1930

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	051037672 (IL)

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 1124328794

Russell E. Anderson's National Provider Identifier is 1124328794, issued on Oct 28, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fox Lake, IL. The record was last updated on May 22, 2016.