Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samuel Marion Costello, REGPHARMACIST

Individual provider Pharmacist · NPI 1629120894

Samuel Marion Costello, REGPHARMACIST is a Pharmacist in Decatur, Alabama. Practices as a sole proprietor. Licensed in Alabama.

Licensed in
AL
In the registry since
2007
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Practice location Address checks out

2422 Danville Rd SW Ste J
Decatur, AL 35603-4221
Phone: (256) 353-1121
Fax: (256) 353-1790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 7105 (AL)

Record details

NPI number1629120894
Entity typeIndividual (Type 1)
GenderMale
Credentials REGPHARMACIST
Sole proprietorYes
NPI enumeratedJanuary 17, 2007
Last updated in NPPESJuly 8, 2007

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