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)
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.