Individual
MARK ANDREW KOSTELNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
375 E MILLSAP RD STE 3, FAYETTEVILLE, AR 72703-6289
(918) 809-7822
(479) 445-6032
Mailing address
375 E MILLSAP RD STE 3, FAYETTEVILLE, AR 72703-6289
(918) 809-7822
(479) 445-6032
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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