MRS. Kelly T Russo

NPI #1326362815 in Marcellus, New York

Provider Information

NPI Number
1326362815
Entity Type
Individual
Name
MRS. Kelly T Russo
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Enumeration Date
Mar 26, 2010
Last Updated
Mar 26, 2010

Practice Location

Address
11 E MAIN ST
ZIP Code
13108-1224
Phone
(315) 673-2410

Specialties & Taxonomy Codes

Specialty
Pharmacist

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