National Provider Identifier
Edward Morry Russak, RPH
Edward Morry Russak, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Buffalo, NY and a listed phone number of (716) 854-1790.
Profile Overview
- NPI
- 1376865055
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- February 22, 2010
- Last Updated
- April 24, 2012
Practice Location
- 253 Lakefront Blvd
- Buffalo, NY 14202-4316
Phone: (716) 854-1790
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1376865055
- Entity Type
- Individual
- Last Name
- Russak
- First Name
- Edward
- Middle Name
- Morry
- Name Prefix
- Dr.
- Credential
- RPH
- Mailing Street Address
- 253 Lakefront Blvd
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-4316
- Mailing Country
- US
- Mailing Phone
- (716) 854-1790
- Practice Street Address
- 253 Lakefront Blvd
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-4316
- Practice Country
- US
- Practice Phone
- (716) 854-1790
- Enumeration Date
- February 22, 2010
- Last Updated
- April 24, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)