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Individual

RYAN CHARLES COSTANTINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(800) 465-3203
Mailing address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(800) 465-3203

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
20764
MD
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
20764
MD

Other

Enumeration date
06/29/2010
Last updated
07/21/2022
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