Individual
JOHN P RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
608 E HILLCREST AVE, NEW CASTLE, PA 16105-2254
(724) 674-9304
Mailing address
608 E HILLCREST AVE, NEW CASTLE, PA 16105-2254
(724) 674-9304
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP031319L
PA
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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