Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RYAN MICHAEL RUSSELL, PHARMD.
Active Sole ProprietorDR. RYAN MICHAEL RUSSELL, PHARMD. is a Pharmacist healthcare provider located in BRIDGETON, Missouri. NPI 1245465467 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · BRIDGETON, MO
Registration Details
- NPI Number
- 1245465467
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2009 (17.201760183097 yrs)
- Last Updated
- Dec 21, 2016
- Licenses
-
2006024046 (MO)051287298 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12266 DE PAUL DRSUITE 105BRIDGETON, MO, 630442514Browse MO providers · Browse ZIP 63044
- Phone
- 3143447300
- Fax
- 3143447179
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in BRIDGETON, MO
| Name | Credential | NPI |
|---|---|---|
| MR. RICHARD K MCMAHAN | — | 1902010820 |
| EMILY JEAN REINKE | PHARMD | 1447444039 |
| EMILY WETHERELL | PHARMD | 1780813337 |
| DR. AMANDA CHRISTINE BAEBLER | PHARMD | 1093039752 |
| CHRISTINA NICOLE SIMPSON | RPH | 1831483916 |
| MR. PHILLIP MICHAEL WEBBER | PHARMD | 1760765663 |
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.