NPI | 1528055985 |
---|---|
Doing Business As | RUSSO'S RX |
Entity Type | Organization |
Authorized Contact | DAVID MICHAEL RUSSO President 301-791-5220 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD P00898) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD P00898) |
Enumeration Date | 2005-09-30 |
Last Update Date | 2008-03-12 |