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Lyan Russell, PHARMD
Pharmacist in Broken Arrow, Oklahoma
NPI 1376144964

Lyan Russell is a Pharmacist based in Bixby, OK. Lyan Russell practices in Broken Arrow, OK and has the professional credentials of PHARMD. The NPI Number for Lyan Russell is 1376144964 and holds a License No. 17412 (Oklahoma).

The current practice location address for Lyan Russell is 1770 S Elm Pl, Broken Arrow, OK and can be reached out via phone at 918-258-6185. You can also correspond with Lyan Russell through the mailing address at 12483 S 71ST EAST AVE, BIXBY, OK - 74008-2637 (mailing address contact number: ).

Location: 1770 S Elm Pl, Broken Arrow, OK, 74008-2637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376144964
Provider Name
Lyan Russell
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
1770 S Elm Pl, Broken Arrow, OK, 74008-2637
Phone Number
918-258-6185
Fax Number
Provider Enumeration Date
11/02/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
17412 01 OK STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1770 S Elm Pl
City
Broken Arrow
State
Oklahoma
Zip
74012-6453
Phone Number
918-258-6185
Fax Number
person
Provider Business Mailing Address Details
Address
1770 S Elm Pl
City
Broken Arrow
State
Oklahoma
Zip
74012-6453
Phone Number
918-258-6185
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
17412 (Oklahoma)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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