Kostelnik, Mark Andrew
Kostelnik, Mark Andrew is an individual health care provider with primary practice located at 375 E Millsap Rd Ste 3 , Fayetteville AR 72703-6289. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Kostelnik, Mark Andrew can be contacted via phone (918) 809-7822.Contact Information
Primary practice address
375 E Millsap Rd Ste 3
Fayetteville AR 72703-6289
Phone: (918) 809-7822
Fax: (479) 445-6032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 14707 | Oklahoma |
Profile Details
| NPI number | 1013220730 |
|---|---|
| LBN Legal business name | Kostelnik, Mark Andrew |
| Credentials | PHARMD, BCPS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2010 |
| Last updated | Apr 11th, 2023 - about 2 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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