Individual
ANDREW JAMES COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
1101 MILL ST, DANVILLE, PA 17821-1091
(570) 275-1811
Mailing address
907 CHERRY HILL RD, BLOOMSBURG, PA 17815-8803
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP041374L
PA
Other
Enumeration date
03/02/2010
Last updated
08/01/2022
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