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.

NPI 1376865055Buffalo, NYPharmacist

Source: public NPPES record, last updated April 24, 2012. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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Biography

Edward Russak, RPh, is a Buffalo-based pharmacist whose New York Office of the Professions record lists him as registered in pharmacy since July 2009. The same primary-source record notes an immunization privilege, a distinguishing authorization for pharmacists who administer immunizations in New York.

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
Taxonomies
Pharmacist (183500000X)