NPI | 1144635087 |
---|---|
Doing Business As | COSTELLO AND COSTELLO MDS |
Entity Type | Organization |
Authorized Contact | SCOTT PETERSON CFO 858-625-2990 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NY 149866) |
Enumeration Date | 2014-06-30 |
Last Update Date | 2017-01-13 |