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Individual
MARK ANDREW KOSTELNIK
Active
Individual
MARK ANDREW KOSTELNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
14707
OK
1835C0207X
Compounded Sterile Preparations Pharmacist
Primary
PD14410
AR
Other
Enumeration date
07/22/2010
Last updated
04/11/2023
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