Individual
CHELSEA COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 COLUMBUS AVE, LEBANON, OH 45036-8258
(513) 228-7370
Mailing address
1425 COLUMBUS AVE, LEBANON, OH 45036
(513) 228-7370
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03124789
OH
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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