NPI 1477806214

Michael B. Russo MD INC

Organisation Non-Pharmacy Dispensing Site Honolulu, HI

Practice location

Address: 320 Ward Ave Suite 101, Honolulu, HI 96814-4001
Phone: (808) 294-3332
Fax: (808) 748-2920
Mailing address: 8513 NE Hazel Dell Ave Suite #102, Vancouver, WA 98665-8068

Authorised official

Name: Michael B. Russo
Title: Owner
Phone: (808) 294-3332

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

Other Non-Pharmacy Dispensing Site providers in Hawaii →

Registry record

NPI: 1477806214
Entity type: Organization
NPI issued: 17 Oct 2012
Record last updated: 26 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.