MRS. TARA COSTA-WALLACE

PHARMD specializing in pharmacist in Bristol, Rhode Island

NPI: 1629224456

Provider Type

1

Practice Locations

Mailing Location

580 METACOM AVE

BRISTOL, RI 02809

📞 4012532723

📠 4012533980

Practice Location

580 METACOM AVE

BRISTOL, RI 02809

📞 4012532723

📠 4012533980

Provider Information

Gender:F
Sole Proprietor:No
Enumeration Date:8/12/2008
Last Updated:8/12/2008

Credentials

Primary Credential:PHARMD