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Organization
WESTERN MD PHARMACEUTICAL SERVICES
Active
Organization
WESTERN MD PHARMACEUTICAL SERVICES
Active
Other names
Russo's Rx
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MICHAEL RUSSO P.D. (PRESIDENT)
(301) 791-5220
Entity
Organization
Contact information
Practice address
25 N CANNON AVE, HAGERSTOWN, MD 21740-4918
(301) 791-5220
(301) 791-5189
Mailing address
25 N CANNON AVE, HAGERSTOWN, MD 21740-4918
(301) 791-5220
(301) 791-5189
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P00898
MD
332B00000X
Durable Medical Equipment & Medical Supplies
P00898
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111487
NABP
—
Enumeration date
09/30/2005
Last updated
03/12/2008
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