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1275720468
TERRY S COSTAKIS
JACKSONVILLE, FL
NPI
1275720468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 11701)
Enumeration Date
2007-10-02
Last Update Date
2010-02-04
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
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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
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