Provider Demographics
NPI:1154651537
Name:RUSSO, JAMES CHRISTOPHER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CHRISTOPHER
Last Name:RUSSO
Suffix:
Gender:M
Credentials:PHARMD
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Mailing Address - Street 1:2979 SQUALICUM PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1811
Mailing Address - Country:US
Mailing Address - Phone:360-788-6934
Mailing Address - Fax:360-788-6935
Practice Address - Street 1:2979 SQUALICUM PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1811
Practice Address - Country:US
Practice Address - Phone:360-788-6934
Practice Address - Fax:360-788-6935
Is Sole Proprietor?:No
Enumeration Date:2010-01-06
Last Update Date:2016-11-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPH60035044183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist