Individual
DR. RUSSEL JOSEPH ROBERTS
Active
Individual
DR. RUSSEL JOSEPH ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D., FCCM, BCCC
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
2003000294
MO
1835C0205X
Critical Care Pharmacist
Primary
PH27202
MA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
2003000294
MO
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH27202
MA
1835P1200X
Pharmacotherapy Pharmacist
2003000294
MO
1835P1200X
Pharmacotherapy Pharmacist
PH27202
MA
Other
Enumeration date
08/15/2005
Last updated
08/04/2016
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