Mrs. Tara Lee Costa-wallace
Pharmacist
580 Metacom Ave, Bristol
Rhode Island, 02809-5182
401-253-2723 401-253-3980
Mrs. Tara Lee Costa-wallace is a pharmacist in Bristol, Rhode Island. Patients can reach her at 580 Metacom Ave, Bristol or contact her on 401-253-2723. Active license number of Mrs. Tara Lee Costa-wallace is RPH03692 for Pharmacist in Rhode Island.
Mrs. Tara Lee Costa-wallace is 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.
Complete Profile:
Mrs. Tara Lee Costa-wallace speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Mrs. Tara Lee Costa-wallace |
| Specialization: | Pharmacist |
| Credentials: | PHARMD |
| Gender: | Female |
| Location: | 580 Metacom Ave, Bristol,
Rhode Island, 02809-5182 |
| Phone: | 401-253-2723 |
| Fax: | 401-253-3980 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Mrs. Tara Lee Costa-wallace are as mentioned below.
| NPI Number: | 1629224456 |
| NPI Enumeration Date: | 12 Aug, 2008 |
| NPI Last Update On: | 12 Aug, 2008 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Tara Lee Costa-wallace are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | RPH03692 | Rhode Island | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 580 Metacom Ave,
Bristol, Rhode Island |
| Zip: | 02809-5182 |
| Phone Number: | 401-253-2723 |
| Fax Number: | 401-253-3980 |
Patients can reach Mrs. Tara Lee Costa-wallace at
580 Metacom Ave, Bristol, Rhode Island or can
call on phone at 401-253-2723.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.