Richard Costilla

NPI #1891376679 in Lytle, Texas

Provider Information

NPI Number: 1891376679
Entity Type: Individual
Name: Richard Costilla
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacy Technician
Enumeration Date: Apr 14, 2021
Last Updated: Apr 14, 2021

Practice Location

Address: 19337 MCDONALD ST
City: Lytle
State: Texas
ZIP Code: 78052-3622
Phone: (830) 772-5021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X	Primary

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