Individual
CARA ANNE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
1525 W BELL RD, PHOENIX, AZ 85023-3411
(602) 439-9867
Mailing address
1525 W BELL RD, PHOENIX, AZ 85023-3411
(602) 439-9867
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S022445
AZ
Other
Enumeration date
06/10/2017
Last updated
07/21/2022
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