Individual
ELIZABETH ANNE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
747 PINE STREET, BRISTOL, CT 06010
(860) 583-9213
Mailing address
747 PINE ST, BRISTOL, CT 06010-6959
(860) 583-9213
(860) 584-2755
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7975
CT
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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