Individual
BRIAN JOSEPH DE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 BARNSTABLE RD, HYANNIS, MA 02601
(508) 771-6511
Mailing address
38 WILLIMANTIC DR, MARSTONS MILLS, MA 02648-1928
(732) 757-5959
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH237868
MA
Other
Enumeration date
12/06/2017
Last updated
03/17/2018
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