Individual
NANCY D RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6 THOMPSON RD, EAST WINDSOR, CT 06088-9626
(866) 809-4455
Mailing address
20 HICKORY KNLS, NEW HARTFORD, CT 06057-3329
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
25573
MA
183500000X
Pharmacist
Primary
6269
CT
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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