Individual
MR. GIRIACO RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
153 MAPLE ST, NAUGATUCK, CT 06770-4256
(203) 729-2297
(203) 729-1134
Mailing address
1 RANAUDO ST, WATERBURY, CT 06708-4704
(203) 768-7355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4813
CT
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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