Michelle Marie Costa DOCTOR OF PHARMACY

NPI 1083699896 - Pharmacist - 183500000X

NPI Details
NPI 1083699896
Gender Female
Enumeration Date 12/14/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
15240 S HARLAN RD
LATHROP CA, 95330-9754, US
Phone (209) 858-5787
Fax
Business Location
1543 DENESE CT
MANTECA CA, 95337-9481, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State California
License Number 56872
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According to our database, Dr. Michelle Marie Costa DOCTOR OF PHARMACY NPI is 1083699896, taxonomy code is 183500000X and license number is 56872, license state is located at California. Michelle Marie Costa DOCTOR OF PHARMACY physically located at 15240 S Harlan Rd, Lathrop CA, 95330-9754. NPI Number Michelle Marie Costa DOCTOR OF PHARMACY has the Individual type.

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1083699896 NPI number is provided on an as is basis without warranty of any kind. 1083699896 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Marie Costa DOCTOR OF PHARMACY are for informational purposes only.