Individual
DR. SAMUEL MICHAEL COSMELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O. RPH
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(239) 292-9699
Mailing address
109 REEDY COVE CT, GREENWOOD, SC 29649-7935
(239) 292-9699
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS34309
FL
2085R0202X
Diagnostic Radiology Physician
2013-00495
NC
2085R0202X
Diagnostic Radiology Physician
Primary
DO36671
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2007
Last updated
01/13/2016
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