IndividualActive
Anderson Russell, PHARMD
NPI 1366073124 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Powder Springs, GA
Provider details
- NPI number
- 1366073124
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- RPH018427 (GA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
4150 Macland Rd
Powder Springs, GA 30127-1202
Phone: (770) 222-5190
Approximate (ZIP-level) locationGet directions
Mailing address
4150 Macland Rd
Powder Springs, GA 30127-1202
Registry dates
- Enumerated
- 2020-01-30
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.