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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL MARION COSTELLO, REG PHARMACIST

Active Sole Proprietor

Pharmacist · DECATUR, AL

Registration Details

NPI Number
1629120894
Provider Type
Individual
Gender
Male
NPI Issued
Jan 17, 2007 (19.260293697319 yrs)
Last Updated
Jul 8, 2007
License
7105 (AL)
Sole Proprietor
Yes

Practice Information

Address
2422 DANVILLE RD SW STE J
DECATUR, AL, 356034221
Browse AL providers · Browse ZIP 35603
Phone
2563531121
Fax
2563531790
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in DECATUR, AL

Name Credential NPI
MR. DANNY BRUCE SKIPPER RPH 1194718338
DAVID W DUNCAN RPH 1356454185
MUSTAFA ISSA ELAYAN RPH 1962519850
LEILA ELAYAN SPEEGLE PHD 1881701779
MR. JEFFREY DALE CAMP 1225197478
MR. JOHN BARNETT DUNCAN RPH 1629128723
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.