Ann R Costello
Non-pharmacy Dispensing Site
217 N Aurora St, Suite 2, Ithaca
New York, 14850-4345
607-273-2811 Ann R Costello is a Non-pharmacy Dispensing Site in Ithaca, New York. This organization is also known as sub part of Medvantx, Inc.. It is located at 217 N Aurora St, Suite 2, Ithaca and it's customer support contact number is 607-273-2811. The authorized person of Ann R Costello is Scott Peterson who is Cfo of the pharmacy and his contact number is 858-625-2990. Active license number of Ann R Costello is 149866 for Non-pharmacy Dispensing Site in New York.
Ann R Costello is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Ann R Costello type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Ann R Costello |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 217 N Aurora St, Suite 2, Ithaca,
New York, 14850-4345 |
| Phone: | 607-273-2811 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Scott Peterson |
| Position: | Cfo |
| Contact Number: | 858-625-2990 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1144635087 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 30 Jun, 2014 |
| NPI Last Update On: | 13 Jan, 2017 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ann R Costello are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 149866 | New York | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9276 Scranton Rd, Suite 100
San Diego, California |
| Zip: | 92121-7701 |
| Phone Number: | -- |
Patients can reach Ann R Costello at
217 N Aurora St, Suite 2, Ithaca, New York or can
call on customer care at 607-273-2811.
Comments/ Reviews:
Read all the reviews posted for Ann R Costello below. You may also share your own experience with Ann R Costello. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.