Organization · Type 2 NPI

Ann R Costello

Non-Pharmacy Dispensing Site · Ithaca, NY

NPI number 1144635087 Active

Practice location

217 N Aurora St, Suite 2
Ithaca, NY 14850-4345

Call (607) 273-2811 Map

Mailing address

9276 Scranton Rd, Suite 100
San Diego, CA 92121-7701

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000X149866 (NY)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

12 other providers at this address

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About NPI 1144635087

Ann R Costello's National Provider Identifier is 1144635087, issued on Jun 30, 2014. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Ithaca, NY. The record was last updated on Jan 13, 2017.