Individual provider · Type 1 NPI

Samuel Marion Costello, REG PHARMACIST

Pharmacist · Decatur, AL

NPI number 1629120894 Active

Practice location

2422 Danville Rd SW Ste J
Decatur, AL 35603-4221

Call (256) 353-1121 Map

Fax (256) 353-1790

Mailing address

4405 Autumn Leaves Trl SE
Decatur, AL 35603-5340

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X7105 (AL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

5 other providers at this address

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About NPI 1629120894

Samuel Marion Costello, REG PHARMACIST's National Provider Identifier is 1629120894, issued on Jan 17, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Decatur, AL. The record was last updated on Jul 8, 2007.