Lisa Costa

NPI #1609103860 in Hermitage, Pennsylvania

Provider Information

NPI Number: 1609103860
Entity Type: Individual
Name: Lisa Costa
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 9, 2009
Last Updated: Dec 30, 2020

Practice Location

Address: 3229 E STATE ST
City: Hermitage
State: Pennsylvania
ZIP Code: 16148-3304
Phone: (724) 342-4603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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