Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKOLINE MARIE COSTANTINO, PHARM.D, BCCP
Active Sole ProprietorDR. JACKOLINE MARIE COSTANTINO, PHARM.D, BCCP is a 1835C0206X healthcare provider located in FORT SAM HOUSTON, Texas. NPI 1750754685 is currently active in the NPPES registry. Verify at CMS.
1835C0206X · FORT SAM HOUSTON, TX
Registration Details
- NPI Number
- 1750754685
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 30, 2015 (10.607180816477 yrs)
- Last Updated
- May 13, 2025
- License
-
P6864 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3551 ROGER BROOKE DRFORT SAM HOUSTON, TX, 782344504Browse TX providers · Browse ZIP 78234
- Phone
- 2109160890
- Primary Specialty
-
1835C0206X
1835C0206X
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.