National Provider Identifier

Kristen Michelle Russo, PHARMD

Kristen Michelle Russo, PHARMD is listed in the NPPES registry with a primary specialty of Pharmacist in Orchard Park, NY and a listed phone number of (716) 677-0735.

NPI 1841772134Orchard Park, NYPharmacist

Profile Overview

NPI
1841772134
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
September 03, 2018
Last Updated
September 03, 2018

Practice Location

  • 3008 Union RD
  • Orchard Park, NY 14127-1215

Phone: (716) 677-0735

Mailing Address

  • 55 Tiffany Pl
  • East Amherst, NY 14051-1817

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1841772134
Entity Type
Individual
Last Name
Russo
First Name
Kristen
Middle Name
Michelle
Name Prefix
Dr.
Credential
PHARMD
Mailing Street Address
55 Tiffany Pl
Mailing City
East Amherst
Mailing State
NY
Mailing ZIP Code
14051-1817
Mailing Country
US
Practice Street Address
3008 Union RD
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1215
Practice Country
US
Practice Phone
(716) 677-0735
Enumeration Date
September 03, 2018
Last Updated
September 03, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)
Other Identifiers
064602 (NY, Nys Office Of The Professions)