| NPI | 1801905476 |
|---|---|
| Other Name | RUSSELLS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH GALLIZZI President 313-875-5384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MI 5301004374) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-12-13 |