Costantino, Jackoline

Costantino, Jackoline is an sole proprietor health care provider with primary practice located at 6459 Bricktown Cir , Glen Burnie MD 21061-1542. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Costantino, Jackoline can be contacted via phone (208) 596-0496.

Contact Information

Primary practice address
6459 Bricktown Cir Glen Burnie MD 21061-1542
Phone: (208) 596-0496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X P6864 Idaho
Pharmacy Service Providers / Pharmacist 183500000X 24230 Maryland
Pharmacy Service Providers / Pharmacist 183500000X RPH029069 Georgia

Profile Details

NPI number 1750754685
LBN Legal business name Costantino, Jackoline
Credentials PHARM.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2015
Last updated Aug 18th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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