Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL E ANDERSON
Active Sole ProprietorDR. RUSSELL E ANDERSON is a Pharmacist healthcare provider located in FOX LAKE, Illinois. NPI 1124328794 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · FOX LAKE, IL
Registration Details
- NPI Number
- 1124328794
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 28, 2010 (15.652203201315 yrs)
- Last Updated
- May 22, 2016
- License
-
051037672 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1258 S ROUTE 12FOX LAKE, IL, 600201950Browse IL providers · Browse ZIP 60020
- Phone
- 8475874966
- Fax
- 8475874731
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in FOX LAKE, IL
| Name | Credential | NPI |
|---|---|---|
| NINGYU CHEN | — | 1770864266 |
| ASHISH PATEL | — | 1588947840 |
| ALTIJANA GALLUP | PHARMD | 1114200151 |
| MR. STEPHEN RUDAWSKI | BSPHARM | 1972909059 |
| DR. AMANDA REISING | PHARMD | 1598157539 |
| NADEJDA LOSSEVA | — | 1952757437 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.