KEVIN COSTELLO

CHICAGO, IL
NPI1962888461
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051035403)
Additional Taxonomies183500000X Pharmacist
(Licence: HI  PH2780)
Enumeration Date2015-08-06
Last Update Date2015-08-07
Business Address
-- KEVIN COSTELLO RPh
151 N STATE ST
CHICAGO, IL 60601-3601
Phone number: 312-863-4249
Mailing Address
-- KEVIN COSTELLO RPh
400 E RANDOLPH ST 2517
CHICAGO, IL 60601-7329
Phone number: 708-250-8097