Michelle Marie Costa, DOCTOR OF PHARMACY Valid NPI
Individual provider · Pharmacist · Lathrop, CA
- NPI
- 1083699896
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 56872 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2005-12-14
- Last updated
- 2026-07-13
Practice location
15240 S Harlan Rd
Lathrop, CA 95330-9754
(209) 858-5787