Costner, Marcus Gene

Costner, Marcus Gene is an individual health care provider with primary practice located at 1100 N College Ave , Fayetteville AR 72703-1944. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Costner, Marcus Gene can be contacted via phone (479) 443-4301.

Contact Information

Primary practice address
1100 N College Ave Fayetteville AR 72703-1944
Phone: (479) 443-4301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X PD10479 Arkansas

Profile Details

NPI number 1750561734
LBN Legal business name Costner, Marcus Gene
Credentials PHARMD, BCPS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2007
Last updated Sep 3rd, 2019 - about 5 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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