Provider Demographics
NPI:1376099317
Name:OSTARELLO, RUSSELL JOHN (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:RUSSELL
Middle Name:JOHN
Last Name:OSTARELLO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:505 E ROMIE LN STE H
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4031
Mailing Address - Country:US
Mailing Address - Phone:831-424-0395
Mailing Address - Fax:831-424-7949
Practice Address - Street 1:1273 SOUT MAIN STREET
Practice Address - Street 2:STAR PHARMACY AND GIFTS
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4031
Practice Address - Country:US
Practice Address - Phone:831-621-5558
Practice Address - Fax:831-621-5579
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-30
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH30356183500000X
CAPHY54665183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacist