Individual provider · Type 1 NPI

Susan Ann Russell, RPH

Pharmacist · San Fidel, NM

NPI number 1811000441 Active

Practice location

I-40, Exit 102
San Fidel, NM 87049

Fax (505) 552-5464

Mailing address

804 Washington Ave
Grants, NM 87020-3025

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X00005516 (NM)

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…

About NPI 1811000441

Susan Ann Russell, RPH's National Provider Identifier is 1811000441, issued on Aug 17, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in San Fidel, NM. The record was last updated on Jul 8, 2007.