NPI 1013220730

Mark Andrew Kostelnik, PHARMDBCPS

Practitioner Compounded Sterile Preparations Pharmacist Fayetteville, AR

Practice location

Address: 375 E Millsap Rd STE 3, Fayetteville, AR 72703-6289
Phone: (918) 809-7822
Fax: (479) 445-6032

Registered specialties (2)

Compounded Sterile Preparations Pharmacist Primary

Pharmacy Service Providers Taxonomy 1835C0207X Licence PD14410 (AR)

Other Pharmacist providers in Arkansas →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 14707 (OK)

Registry record

NPI: 1013220730
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2010
Record last updated: 11 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.