Individual provider · Type 1 NPI

Michelle Marie Costa, DOCTOR OF PHARMACY

Pharmacist · Lathrop, CA

NPI number 1083699896 Active

Practice location

15240 S Harlan Rd
Lathrop, CA 95330-9754

Call (209) 858-5787 Map

Mailing address

1543 Denese Ct
Manteca, CA 95337-9481

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X56872 (CA)

Pharmacist: 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…

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About NPI 1083699896

Michelle Marie Costa, DOCTOR OF PHARMACY's National Provider Identifier is 1083699896, issued on Dec 14, 2005. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lathrop, CA. The record was last updated on Jul 13, 2026.