Individual provider · Type 1 NPI
Susan Ann Russell, RPH
Pharmacist · San Fidel, NM
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
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 00005516 (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.