DR. Michelle Marie Costa, DOCTOR OF PHARMACY
NPI #1083699896 in Lathrop, California
Provider Information
- NPI Number
- 1083699896
- Entity Type
- Individual
- Name
- DR. Michelle Marie Costa, DOCTOR OF PHARMACY
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Pharmacist
- Credential
- DOCTOR OF PHARMACY
- Enumeration Date
- Dec 14, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 15240 S HARLAN RD
- City
- Lathrop
- State
- California
- ZIP Code
- 95330-9754
- Phone
- (209) 858-5787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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