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1710346663
MICHAEL COSTA
CAMP VERDE, AZ
NPI
1710346663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: AZ S021762)
Enumeration Date
2016-02-21
Last Update Date
2016-02-21
Business Address
Dr. MICHAEL COSTA PharmD
475 W FINNIE FLAT RD
CAMP VERDE, AZ 86322-7398
Phone number: 928-239-3187
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Mailing Address
Dr. MICHAEL COSTA PharmD
3425 W LUCIA DR
PHOENIX, AZ 85083-5886
Phone number: 623-516-7707
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