Costello, Jeffrey Birk

Costello, Jeffrey Birk is an sole proprietor health care provider with primary practice located at 700 Se 3Rd St , Bend OR 97702-1753. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Costello, Jeffrey Birk can be contacted via phone (541) 389-9741.

Contact Information

Primary practice address
700 Se 3Rd St Bend OR 97702-1753
Phone: (541) 389-9741
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RHP-0011948 Oregon
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH-0011948 Oregon

Profile Details

NPI number 1063791879
LBN Legal business name Costello, Jeffrey Birk
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2011
Last updated Apr 26th, 2017 - about 7 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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