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1134267123
PATRICIA ANN DACOSTA
MARIETTA, GA
NPI
1134267123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: GA RPH020145)
Enumeration Date
2007-02-02
Last Update Date
2007-07-08
Business Address
Dr. PATRICIA ANN DACOSTA PharmD
2064 WYETH WALK
MARIETTA, GA 30062-6029
Phone number: 770-518-1422
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Mailing Address
Dr. PATRICIA ANN DACOSTA PharmD
2064 WYETH WALK
MARIETTA, GA 30062-6029
Phone number: 770-518-1422
Copy
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