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NPI 1508306010

IndividualActive

Russell Piazza

NPI 1508306010 · Geriatric Pharmacist · San Luis Obispo, CA

Provider details

NPI number: 1508306010
Entity type: Individual
Primary specialty: Geriatric PharmacistPharmacy Service Providers
Sex: Male
Sole proprietor: Yes
License: 26644 (CA)

Practice location

873 Ricardo Court

San Luis Obispo, CA 93401

Phone: (805) 784-0515

More CA providers

Mailing address

873 Ricardo Ct

San Luis Obispo, CA 93401-7174

Registry dates

Enumerated: 2017-03-02
Last updated: 2017-03-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Russell Piazza — NPI 1508306010, San Luis Obispo, CA | NPI Central