MR. Salvatore J Massanisso, RPH

NPI #1881971323 in La Grange, Illinois

Provider Information

NPI Number: 1881971323
Entity Type: Individual
Name: MR. Salvatore J Massanisso, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Nov 11, 2011
Last Updated: Nov 11, 2011

Practice Location

Address: 2 N LA GRANGE RD
City: La Grange
State: Illinois
ZIP Code: 60525-2001
Phone: (708) 352-3116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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