Individual
MICHAEL A COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1425 BARNUM AVE, STRATFORD, CT 06614-5404
(203) 383-7741
Mailing address
1425 BARNUM AVE, STRATFORD, CT 06614-5404
(203) 383-7741
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0014852
CT
Other
Enumeration date
12/26/2019
Last updated
11/23/2020
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