DR. RUSSELL MARION BLAYLOCK PHARMD NPI 1477584704

NPI Information

  • NPI: 1477584704
  • Provider Name: DR. RUSSELL MARION BLAYLOCK, PHARMD
  • Classification: Pharmacist - 183500000X
  • Entity Type: Individual
  • Address: 751 CROMWELL AVENUE
    CLOVIS, CA
    ZIP 93611
  • Phone: (559) 681-7876

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NPI Details

DR. Russell Marion Blaylock, PHARMD is a pharmacist in Clovis, CA. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. DR. Russell Marion Blaylock, PHARMD NPI is 1477584704. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

751 CROMWELL AVENUE
CLOVIS, CA
ZIP 93611
Phone: (559) 681-7876

The enumeration date for this NPI number is 7/5/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist12607-040WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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