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1912274978
ROBERT RUSSO
PHILADELPHIA, PA
NPI
1912274978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: PA RP441670)
Enumeration Date
2011-11-18
Last Update Date
2011-11-18
Business Address
-- ROBERT RUSSO Rph
1809 E ALLEGHENY AVE
PHILADELPHIA, PA 19134-3119
Phone number: 215-426-0956
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Mailing Address
-- ROBERT RUSSO Rph
310 LOMBARD ST
PHILADELPHIA, PA 19147-1502
Phone number: 646-872-0136
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