Individual provider · Type 1 NPI

Russell Devolder

Pharmacist · Cass Lake, MN

NPI number 1972817013 Active

Practice location

425 7th St NW
Cass Lake, MN 56633-3360

Call (218) 335-3267 Map

Mailing address

PO Box 540
Cass Lake, MN 56633-0540

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X21224 (IA)

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 1972817013

Russell Devolder's National Provider Identifier is 1972817013, issued on Jul 30, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Cass Lake, MN. The record was last updated on Jul 30, 2010.