Brandon Costa
Pharmacist in San Luis Obispo, CA. Individual provider (NPI-1).
NPI number1104237262
StatusActive
Last updated in NPPESMay 12, 2014
Details
- NPI
- 1104237262
- Entity type
- Individual (NPI-1)
- Name
- Brandon Costa
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 12, 2014
- Last updated
- May 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 51572 | CA | Yes |
Practice location
Highway 1San Luis Obispo, CA 93409-0001
Phone 805-547-7559
Mailing address
Highway 1San Luis Obispo, CA 93409-0001
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 52 Pharmacist providers in San Luis Obispo · All 4,062 providers in San Luis Obispo
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