NPI | 1295807329 |
---|---|
Doing Business As | COSTA DRUGS INC |
Entity Type | Organization |
Authorized Contact | GEORGE CHELLAND Corp Sec 570-961-1168 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP410487L) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2006-11-14 |
Last Update Date | 2013-09-09 |