Terry S Costakis R.PH.

NPI 1275720468 - Pharmacist - 183500000X

NPI Details
NPI 1275720468
Gender Male
Enumeration Date 10/02/2007
Last Updated 02/04/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
H 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND
ATTN: MEDICAL STAFF SERVICES BLDG.
JACKSONVILLE FL, 32212-0140, US
Phone (904) 542-7200
Fax (843) 228-5196
Business Location
H 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND
ATTN: MEDICAL STAFF SERVICES BLDG.
JACKSONVILLE FL, 32212-0140, US
Phone (904) 542-7200
Fax (843) 228-5196
Toxanomy
Taxonomy Code 183500000X
License State South Carolina
License Number 11701
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According to our database, Mr. Terry S Costakis R.PH. NPI is 1275720468, taxonomy code is 183500000X and license number is 11701, license state is located at South Carolina. Terry S Costakis R.PH. physically located at H 2005 Knight Lane Navy Medicine Support Command, Jacksonville FL, 32212-0140. NPI Number Terry S Costakis R.PH. has the Individual type.

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1275720468 NPI number is provided on an as is basis without warranty of any kind. 1275720468 is maintained by the National Plan & Provider Enumeration System. The contents of Terry S Costakis R.PH. are for informational purposes only.