| Mrs Tara Lee Costa-wallace, PHARMD | |
|
580 Metacom Ave, Bristol, RI 02809-5182 | |
| (401) 253-2723 | |
| (401) 253-3980 |
| Full Name | Mrs Tara Lee Costa-wallace |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 580 Metacom Ave, Bristol, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629224456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | RPH03692 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tara Lee Costa-wallace, PHARMD 580 Metacom Ave, Bristol, RI 02809-5182 Ph: (401) 253-2723 | Mrs Tara Lee Costa-wallace, PHARMD 580 Metacom Ave, Bristol, RI 02809-5182 Ph: (401) 253-2723 |
Kenneth Olszewski, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 400 Metacom Ave, Bristol, RI 02809 Phone: 401-253-2050 | |
Kathy Clemens, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 7 3rd St, Bristol, RI 02809 Phone: 401-447-4354 | |
Dr. Bradford Pease, PHARM.D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1180 Hope St, Bristol, RI 02809 Phone: 401-253-8900 Fax: 401-253-3131 | |
Rachel Elise Borges, B.S. PHARMD RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 591 Metacom Ave, Bristol, RI 02809 Phone: 401-254-3903 | |
James William Enos, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 71 Kingswood Rd, Bristol, RI 02809 Phone: 401-654-8702 | |
Elsiris Rosario, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 591 Metacom Ave, Bristol, RI 02809 Phone: 401-254-3903 Fax: 401-254-3907 | |
Bethany Barone, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 400 Metacom Ave, Bristol, RI 02809 Phone: 401-253-2050 |