Individual provider · Type 1 NPI

Lyan Russell, PharmD

Pharmacist · Broken Arrow, OK

NPI number 1376144964 Active

Practice location

1770 S Elm Pl
Broken Arrow, OK 74012-6453

Mailing address

12483 S 71st East Ave
Bixby, OK 74008-2637

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X17412 (OK)

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 1376144964

Lyan Russell, PharmD's National Provider Identifier is 1376144964, issued on Nov 2, 2020. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Broken Arrow, OK. The record was last updated on Nov 27, 2023.