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NPI Code Detail

MEDICARE: MRS. MONICA DINA COSTA PHARMD

MEDICARE: MRS. MONICA DINA COSTA PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPS43234FL

General Provider Information

NPI Number : 1922379445
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MONICA DINA COSTA PHARMD
Provider Business Mailing Address
First Line : 315 W PLATT ST
Second Line :
City : TAMPA
State : FL
Zip : 33606-2241
Country : US
Telephone Number : 813-251-3939
Fax Number : 813-251-2141
Provider Business Practice Location Address
First Line : 315 W PLATT ST
Second Line :
City : TAMPA
State : FL
Zip : 33606-2241
Country : US
Telephone Number : 813-251-3939
Fax Number : 813-251-2141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2012
Last Update Date : 01/13/2012

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