Kristen Jade Russo, PHARMD

NPI #1912415894 in Springfield, Massachusetts

Provider Information

NPI Number: 1912415894
Entity Type: Individual
Name: Kristen Jade Russo, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jan 13, 2018
Last Updated: Jun 16, 2018

Practice Location

Address: 600 STATE ST
City: Springfield
State: Massachusetts
ZIP Code: 01109-4104
Phone: (413) 736-0351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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