Individual
ALLAN COSTA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1078 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4231
(860) 529-2535
Mailing address
1078 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4231
(860) 529-2535
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12654
CT
Other
Enumeration date
05/17/2017
Last updated
07/21/2022
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