Brian Joseph De Costa

NPI #1720593247 in Hyannis, Massachusetts

Provider Information

NPI Number: 1720593247
Entity Type: Individual
Name: Brian Joseph De Costa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Dec 6, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 360 BARNSTABLE RD
City: Hyannis
State: Massachusetts
ZIP Code: 02601
Phone: (508) 771-6511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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