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Ann R Costello
Non-Pharmacy Dispensing Site in Ithaca, New York
NPI 1144635087

Ann R Costello is a Non-Pharmacy Dispensing Site based in San Diego, NY. Ann R Costello practices in Ithaca, NY. The NPI Number for Ann R Costello is 1144635087 and holds a License No. 149866 (New York).

The current practice location address for Ann R Costello is 217 N Aurora St, Ithaca, NY and can be reached out via phone at 607-273-2811.

Location: 217 N Aurora St, Ithaca, NY, 92121-7701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144635087
Provider Name
Ann R Costello
Credential
Provider Entity Type
Organization
Address
217 N Aurora St, Ithaca, NY, 92121-7701
Phone Number
607-273-2811
Fax Number
Provider Enumeration Date
06/30/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
217 N Aurora St
City
Ithaca
State
New York
Zip
14850-4345
Phone Number
607-273-2811
Fax Number
person
Provider Business Mailing Address Details
Address
217 N Aurora St
City
Ithaca
State
New York
Zip
14850-4345
Phone Number
607-273-2811
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
149866 (New York)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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