Individual provider · Type 1 NPI

Ryan Michael Russell, PHARMD.

Pharmacist · Bridgeton, MO

NPI number 1245465467 Active

Practice location

12266 De Paul Dr, Suite 105
Bridgeton, MO 63044-2514

Call (314) 344-7300 Map

Fax (314) 344-7179

Mailing address

2911 Russell Blvd
St. Louis, MO 63104-1536

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X2006024046 (MO)
Pharmacist 183500000X051287298 (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 1245465467

Ryan Michael Russell, PHARMD.'s National Provider Identifier is 1245465467, issued on May 18, 2009. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Bridgeton, MO. The record was last updated on Dec 21, 2016.