AMY DIANE ACOSTA

MUSTANG, OK
NPI1497005110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OK  13644)
Enumeration Date2012-09-11
Last Update Date2012-09-11
Business Address
Dr. AMY DIANE ACOSTA Pharm D
112 E STATE HIGHWAY 152
MUSTANG, OK 73064-4402
Phone number: 405-376-3751
Mailing Address
Dr. AMY DIANE ACOSTA Pharm D
1810 W ROSE OAK DR
MUSTANG, OK 73064-1212
Phone number: 806-676-2031