Justin M Costa

NPI #1992275754 in Tiverton, Rhode Island

Provider Information

NPI Number: 1992275754
Entity Type: Individual
Name: Justin M Costa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Dec 4, 2018
Last Updated: Dec 4, 2018

Practice Location

Address: 677 MAIN RD
City: Tiverton
State: Rhode Island
ZIP Code: 02878-1352
Phone: (401) 624-8411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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