SAMUEL MARION COSTELLO

DECATUR, AL
NPI1629120894
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AL  7105)
Enumeration Date2007-01-17
Last Update Date2007-07-08
Business Address
-- SAMUEL MARION COSTELLO Reg Pharmacist
2422 DANVILLE RD SW STE J
DECATUR, AL 35603-4221
Phone number: 256-353-1121
Mailing Address
-- SAMUEL MARION COSTELLO Reg Pharmacist
4405 AUTUMN LEAVES TRL SE
DECATUR, AL 35603-5340
Phone number: 125-635-3633
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