Individual
DR. ANIEL DONALD RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
461 COOKE ST, FARMINGTON, CT 06032-3012
(877) 955-0255
Mailing address
461 COOKE ST, FARMINGTON, CT 06032-3012
(877) 955-0255
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0015255
CT
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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