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Mrs. Tara Lee Costa-wallace, PHARMD
Pharmacist in Bristol, Rhode Island
NPI 1629224456

Tara Lee Costa-wallace is a Pharmacist based in Bristol, RI. Tara Lee Costa-wallace practices in Bristol, RI and has the professional credentials of PHARMD. The NPI Number for Tara Lee Costa-wallace is 1629224456 and holds a License No. RPH03692 (Rhode Island).

The current practice location address for Tara Lee Costa-wallace is 580 Metacom Ave, Bristol, RI and can be reached out via phone at 401-253-2723 and via fax at 401-253-3980.

Location: 580 Metacom Ave, Bristol, RI, 02809-5182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629224456
Provider Name
Tara Lee Costa-wallace
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
580 Metacom Ave, Bristol, RI, 02809-5182
Phone Number
401-253-2723
Fax Number
401-253-3980
Provider Enumeration Date
08/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
580 Metacom Ave
City
Bristol
State
Rhode Island
Zip
02809-5182
Phone Number
401-253-2723
Fax Number
401-253-3980
person
Provider Business Mailing Address Details
Address
580 Metacom Ave
City
Bristol
State
Rhode Island
Zip
02809-5182
Phone Number
401-253-2723
Fax Number
401-253-3980
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
RPH03692 (Rhode Island)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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