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Samuel Costello, REG PHARMACIST
NPI 1629120894 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2422 Danville Rd Sw Ste J
Decatur, AL 35603 - Phone
- (256) 353-1121
- Fax
- (256) 353-1790
- Organisation at this address
- Austin Drug Co Inc
Austin Drug Co Inc
Austin Drug Co Inc
Austin Drug Co Inc
Legacy Compounding IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama