JEREMY COSTA

LAFAYETTE, IN
NPI1144631540
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1835P1200X Pharmacist, Pharmacotherapy
(Licence: IN  26025014A)
Enumeration Date2014-05-19
Last Update Date2014-05-19
Business Address
Dr. JEREMY COSTA PharmD
4901 STATE ROAD 26 E
LAFAYETTE, IN 47905-4611
Phone number: 765-449-9233
Mailing Address
Dr. JEREMY COSTA PharmD
4901 STATE ROAD 26 E
LAFAYETTE, IN 47905-4611
Phone number: 765-449-9233
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