Costello, Tracy Jean

Costello, Tracy Jean is an individual health care provider with primary practice located at 1500 N Ritter Ave , Indianapolis IN 46219-3027. She recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as her primary health care specialty. Costello, Tracy Jean can be contacted via phone (317) 355-2810.

Contact Information

Primary practice address
1500 N Ritter Ave Indianapolis IN 46219-3027
Phone: (317) 355-2810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 26022763A Indiana

Profile Details

NPI number 1922742717
LBN Legal business name Costello, Tracy Jean
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2022
Last updated Apr 26th, 2022 - about 2 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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