Organization
COSTA'S APOTHECARY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E AMORUSO RPH (PRESIDENT)
(610) 521-1000
Entity
Organization
Contact information
Practice address
113 E SELLERS AVE, RIDLEY PARK, PA 19078-2307
(610) 521-1000
Mailing address
113 E SELLERS AVE, RIDLEY PARK, PA 19078-2307
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP025305L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1617981
—
PA
Enumeration date
07/20/2006
Last updated
08/22/2020
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