Individual
DR. MICHELLE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
599 STATE RD, WESTPORT, MA 02790-2819
(508) 673-3072
Mailing address
599 STATE RD, WESTPORT, MA 02790-2819
(508) 673-3072
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH234627
MA
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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