Individual
ASHLEY COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4170
Mailing address
1142 QUIET ACRES RD, ROCK HILL, SC 29732-7103
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42490
SC
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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