Samuel Marion Costello, REG PHARMACIST - Pharmacist in Decatur, AL

Samuel Marion Costello, REG PHARMACIST is a Pharmacist based in Decatur, Alabama. Samuel Marion Costello is licensed to practice in Alabama (license number 7105) and his current practice location is 2422 Danville Rd Sw Ste J, Decatur, Alabama. He can be reached at his office (for appointments etc.) via phone at (256) 353-1121.

NPI number for Samuel Marion Costello is 1629120894 and his current mailing address is 4405 Autumn Leaves Trl Se, Decatur, Alabama. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629120894.

Contact Information

Samuel Marion Costello, REG PHARMACIST
2422 Danville Rd Sw Ste J,
Decatur, AL 35603-4221
(256) 353-1121
(256) 353-1790

Map and Direction


Healthcare Provider's Profile

Full NameSamuel Marion Costello
GenderMale
SpecialityPharmacist
Location2422 Danville Rd Sw Ste J, Decatur, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629120894
  • Provider Enumeration Date: 01/17/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Samuel Marion Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629120894NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 7105 (Alabama)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Marion Costello is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samuel Marion Costello, REG PHARMACIST
4405 Autumn Leaves Trl Se,
Decatur, AL 35603-5340

Ph: (125) 635-3633
Samuel Marion Costello, REG PHARMACIST
2422 Danville Rd Sw Ste J,
Decatur, AL 35603-4221

Ph: (256) 353-1121

Reviews and Comments


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