NPI 1972914604

Yvonne Costello

Practitioner Pharmacist Incline Village, NV

Practice location

Address: 930 Tahoe Blvd, Incline Village, NV 89451-9451
Phone: (775) 831-3111
Fax: (775) 831-9116

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 10614 (NV)

Other Pharmacist providers in Nevada →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 43133 (CA)

Registry record

NPI: 1972914604
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 May 2014
Record last updated: 15 May 2014

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.