Individual
MR. DAVID MICHAEL COSTLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
407 CENTRAL AVE, JOHNSTOWN, PA 15902-2502
(814) 536-7595
Mailing address
407 CENTRAL AVE, JOHNSTOWN, PA 15902-2502
(814) 536-7595
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP03055L
PA
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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