MRS. TARA COSTA-WALLACE, PHARMD

Pharmacist

Active Individual
NPI: 1629224456

Practice Address

580 METACOM AVE
Bristol, RI 02809

Phone: (401) 253-2723

Specialties

Specialty Code Primary License
Pharmacist 183500000X Yes RPH03692 (RI)

Frequently Asked Questions

NPI 1629224456 is the National Provider Identifier for MRS. TARA COSTA-WALLACE, PHARMD, a Pharmacist provider located in Bristol, RI. This NPI was enumerated on August 12, 2008.
MRS. TARA COSTA-WALLACE, PHARMD practices at 580 METACOM AVE, Bristol, RI 02809.

Quick Facts

NPI
1629224456
Type
Individual
Enumerated
Aug 12, 2008
Last Updated
Aug 12, 2008

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