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1013220730
MARK ANDREW KOSTELNIK
FAYETTEVILLE, AR
NPI
1013220730
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1835C0207X
(Licence: AR PD14410)
Additional Taxonomies
183500000X Pharmacist
(Licence: OK 14707)
Enumeration Date
2010-07-22
Last Update Date
2023-04-11
Business Address
MARK ANDREW KOSTELNIK PHARMD, BCPS
375 E MILLSAP RD STE 3
FAYETTEVILLE, AR 72703-6289
Phone number: 918-809-7822
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Mailing Address
MARK ANDREW KOSTELNIK PHARMD, BCPS
375 E MILLSAP RD STE 3
FAYETTEVILLE, AR 72703-6289
Phone number: 918-809-7822
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