Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TARA LEE COSTA-WALLACE, PHARMD
ActiveMRS. TARA LEE COSTA-WALLACE, PHARMD is a Pharmacist healthcare provider located in BRISTOL, Rhode Island. NPI 1629224456 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · BRISTOL, RI
Registration Details
- NPI Number
- 1629224456
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 12, 2008 (17.969751779911 yrs)
- Last Updated
- Aug 12, 2008
- License
-
RPH03692 (RI)
Practice Information
- Address
-
580 METACOM AVEBRISTOL, RI, 028095182Browse RI providers · Browse ZIP 02809
- Phone
- 4012532723
- Fax
- 4012533980
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in BRISTOL, RI
| Name | Credential | NPI |
|---|---|---|
| JAMES ROTSART | R.PH. | 1649447442 |
| MS. JENNIFER LYNN FERREIRA | RPH | 1639463938 |
| MAUREEN SCOTT | — | 1992086193 |
| MS. LAURIE GALVIN | — | 1518249986 |
| MRS. DEBORAH J KANOSH | R.PH. | 1477835189 |
| DR. ALEXANDER ROBERT PEASE | PHARMD | 1780937474 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.