Organization Name: | RUSSOS HEALTH MART INC |
NPI Number: | 1376737973 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SALVADORE RUSSO (OWNER) |
Mailing Address: | 1124 7th St Morgan City |
State: | LA US |
Postal Code: | 703801951 |
Phone Number: | 9853841234 |
Fax Number: | 9853841233 |
NPI Enumeration Date: | 08/28/2007 |
NPI Last Update Date: | 03/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |