Individual
MR. WILLIAM EUGENE COSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT3
Contact information
Practice address
4001 SE FEDERAL HWY, STUART, FL 34997-4909
(772) 288-6541
(772) 288-6543
Mailing address
PO BOX 1383, JENSEN BEACH, FL 34958-1383
(772) 288-6541
(772) 288-6543
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT4297
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A4E6P2C6
NHA
FL
01
—
RPT4297
FLORIDA BOARD OF PHARMACY
FL
Enumeration date
03/08/2023
Last updated
03/08/2023
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