Costco

NPI #1801225636 in Purcellville, Virginia

Provider Information

NPI Number: 1801225636
Entity Type: Organization
Organization Name: Costco
Primary Specialty: Pharmacist
Enumeration Date: Nov 2, 2013
Last Updated: Nov 2, 2013

Practice Location

Address: 19193 PINTAIL CT
City: Purcellville
State: Virginia
ZIP Code: 20132-3957
Phone: (540) 338-2704

Authorized Official

Name: MRS. MICHELLE MARKS THOMPSON, RPH
Title: PHARAMACIST
Phone: (540) 338-2704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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