Individual
DR. CHARLES COSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
201 GLEN ST, GLEN COVE, NY 11542-2734
(516) 671-1520
(516) 759-7180
Mailing address
201 GLEN ST, GLEN COVE, NY 11542-2734
(516) 671-1520
(516) 759-7180
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29462
NY
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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