| NPI | 1376737973 |
|---|---|
| Doing Business As | RUSSOS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SALVADORE RUSSO Owner 985-384-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY000755IR) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2011-03-07 |