TERRY S COSTAKIS

JACKSONVILLE, FL
NPI1275720468
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: SC  11701)
Enumeration Date2007-10-02
Last Update Date2010-02-04
Business Address
Mr. TERRY S COSTAKIS R.Ph.
H 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SERVICES BLDG.
JACKSONVILLE, FL 32212-0140
Phone number: 904-542-7200
Mailing Address
Mr. TERRY S COSTAKIS R.Ph.
H 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SERVICES BLDG.
JACKSONVILLE, FL 32212-0140
Phone number: 904-542-7200