ALEXANDER RUSSO

KINGS PARK, NY
NPI1205429925
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NY  067695)
Enumeration Date2021-02-12
Last Update Date2021-02-12
Business Address
Mr. ALEXANDER RUSSO PharmD
64 INDIAN HEAD RD
KINGS PARK, NY 11754-3703
Phone number: 631-663-3800
Mailing Address
Mr. ALEXANDER RUSSO PharmD
18 GRAND ST
SMITHTOWN, NY 11787-1207
Phone number: 631-807-2666
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