Individual
SARAH RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
231 MASSACHUSETTS AVE, BOSTON, MA 02115-3500
(617) 266-6775
Mailing address
100 FRANKLIN ST APT D1, WHITMAN, MA 02382-2551
(781) 696-5751
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25836
MA
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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