Costa, Joseph J

Costa, Joseph J is an individual health care provider with primary practice located at 800 Main St , Dickson City PA 18519-1546. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Costa, Joseph J can be contacted via phone (570) 489-5161.

Contact Information

Primary practice address
800 Main St Dickson City PA 18519-1546
Phone: (570) 489-5161
Fax: (570) 307-0730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP029809L Pennsylvania

Profile Details

NPI number 1114099777
LBN Legal business name Costa, Joseph J
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114099777 NPPES
Pennsylvania Other RP029809L STATE LICENSE NUMBER

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