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Individual

JULIE COSTELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
134 PRUDENCE DR, STAMFORD, CT 06907-1219
(203) 536-3423
Mailing address
134 PRUDENCE DR, STAMFORD, CT 06907-1219

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0013275
CT

Other

Enumeration date
07/01/2015
Last updated
07/01/2015
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