Organization
RUSSO'S PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RUSSO PHARMD, RPH.I (PRESIDENT)
(516) 568-7338
Entity
Organization
Contact information
Practice address
1909 CORNAGA AVE, FAR ROCKAWAY, NY 11691-4303
(516) 568-7338
Mailing address
1909 CORNAGA AVE, FAR ROCKAWAY, NY 11691-4303
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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