DR. Jeffrey Birk Costello, PHARMD

NPI #1063791879 in Bend, Oregon

Provider Information

NPI Number: 1063791879
Entity Type: Individual
Name: DR. Jeffrey Birk Costello, PHARMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Aug 10, 2011
Last Updated: Apr 26, 2017

Practice Location

Address: 700 SE 3RD ST
City: Bend
State: Oregon
ZIP Code: 97702-1753
Phone: (541) 389-9741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	1835P0018X

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