Costello, Samuel Marion
Costello, Samuel Marion is an sole proprietor health care provider with primary practice located at 2422 Danville Rd Sw Ste J , Decatur AL 35603-4221. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Costello, Samuel Marion can be contacted via phone (256) 353-1121.Contact Information
Primary practice address
2422 Danville Rd Sw Ste J
Decatur AL 35603-4221
Phone: (256) 353-1121
Fax: (256) 353-1790
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 7105 | Alabama |
Profile Details
| NPI number | 1629120894 |
|---|---|
| LBN Legal business name | Costello, Samuel Marion |
| Credentials | REG PHARMACIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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