Individual
JUSTIN M COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
677 MAIN RD, TIVERTON, RI 02878-1352
(401) 624-8411
Mailing address
195 BROWNELL ST APT 3, FALL RIVER, MA 02720-2717
(508) 410-1451
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH238590
MA
183500000X
Pharmacist
Primary
RPH05959
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH238590
MA BOARD OF PHARMACY
MA
01
—
RPH05959
RI BOARD OF PHARMACY
RI
Enumeration date
12/04/2018
Last updated
12/04/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us