Individual
ALEXANDRA RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 S 52ND ST, PHILADELPHIA, PA 19139-3409
(877) 882-9479
(267) 787-5568
Mailing address
142 S 52ND ST, PHILADELPHIA, PA 19139-3409
(877) 882-9479
(267) 787-5568
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI03965200
NJ
183500000X
Pharmacist
Primary
RP452868
PA
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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