Western MD Pharmaceutical Services
Pharmacist in Hagerstown, MD. Organization (NPI-2).
NPI number1528055985
StatusActive
Last updated in NPPESMar 12, 2008
Details
- NPI
- 1528055985
- Entity type
- Organization (NPI-2)
- Legal business name
- Western MD Pharmaceutical Services
- Organization subpart
- No
- Enumeration date
- Sep 30, 2005
- Last updated
- Mar 12, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | P00898 | MD | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | P00898 | MD |
Other names
- Russo'S Rx (Doing Business As)
Practice location
25 N Cannon AveHagerstown, MD 21740-4918
Phone 301-791-5220 · Fax 301-791-5189
Mailing address
25 N Cannon AveHagerstown, MD 21740-4918
Phone 301-791-5220 · Fax 301-791-5189
Authorized official
David Michael Russo
President
3017915220
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