Stephen Costello JR.

NPI #1942614649 in Hayes, Virginia

Provider Information

NPI Number: 1942614649
Entity Type: Individual
Name: Stephen Costello JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 20, 2014
Last Updated: Jun 20, 2014

Practice Location

Address: 2460 GEORGE WASHINGTON MEMORIAL HWY
City: Hayes
State: Virginia
ZIP Code: 23072
Phone: (804) 642-2115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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