Russell Devolder

Pharmacist · Cass Lake, MN

Individual Active NPI

NPI number 1972817013

Practice location

425 7TH St NW
Cass Lake, MN 56633-3360
Phone
(218) 335-3267

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NPI record

NPI
1972817013
Entity type
Individual (Type 1)
Enumeration date
July 30, 2010
Last updated
July 30, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 21224 IA

Mailing address

PO Box 540
Cass Lake, MN 56633-0540

About Russell Devolder

Russell Devolder is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 425 7TH St NW, Cass Lake, MN 56633-3360. The NPI number 1972817013 was assigned on July 30, 2010 and the record was last updated on July 30, 2010.

Russell Devolder lists a license in the registry: #21224 (IA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Russell Devolder?

The NPI number is 1972817013.

What is the phone number of Russell Devolder?

The phone number listed for the practice location is (218) 335-3267.

Where is Russell Devolder located?

425 7TH St NW, Cass Lake, MN 56633-3360.

What is the taxonomy code for Russell Devolder?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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