Chad Russo PHAMD

NPI 1578862330 - Pharmacist - 183500000X

NPI Details
NPI 1578862330
Gender Male
Enumeration Date 03/19/2011
Last Updated 03/19/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1101 FRESNO ST
FRESNO CA, 93706-3235, US
Phone (559) 441-0998
Fax (559) 441-1088
Business Location
6035 W PINEDALE AVE
FRESNO CA, 93722-2600, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State California
License Number 47195
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According to our database, Chad Russo PHAMD NPI is 1578862330, taxonomy code is 183500000X and license number is 47195, license state is located at California. Chad Russo PHAMD physically located at 1101 Fresno St, Fresno CA, 93706-3235. NPI Number Chad Russo PHAMD has the Individual type.

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1578862330 NPI number is provided on an as is basis without warranty of any kind. 1578862330 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Russo PHAMD are for informational purposes only.