Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chaz Russo

Individual provider Pharmacist · NPI 1568202109

Chaz Russo is a Pharmacist in Port Saint Lucie, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

2901 SW Port St Lucie Blvd
Port Saint Lucie, FL 34953-3222
Phone: (772) 336-3108
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS66903 (FL)

Record details

NPI number1568202109
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 30, 2024
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

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