Individual
ANTHONY COSTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8900 SEPULVEDA WESTWAY, LOS ANGELES, CA 90045-3619
(248) 697-7643
Mailing address
1874 SUNKIST ST, UPLAND, CA 91784-8229
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
80182
CA
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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