Individual
EMILY COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
162 E DERRY RD, CHESTER, NH 03036-4319
(603) 716-0533
Mailing address
162 E DERRY RD, CHESTER, NH 03036-4319
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
01248
NH
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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