Costco Wholesale

NPI 1063534493 - Pharmacy - 3336C0003X

NPI Details
NPI 1063534493
Enumeration Date 04/05/2007
Last Updated 08/19/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL MICHAEL
Position AVP PHARMACY
Phone (703) 490-7409
Fax (703) 490-7406
Practice Location
2700 POTOMAC MILLS CIR
STE 200
WOODBRIDGE VA, 22192-4625, US
Phone (703) 490-7409
Fax (703) 490-7406
Business Location
PO BOX 34300
SEATTLE WA, 98124-1300, US
Phone (425) 313-6670
Fax (425) 313-6595
Toxanomy
Taxonomy Code 3336C0003X
License State Virginia
License Number 0201004150
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According to our database, Costco Wholesale NPI is 1063534493, taxonomy code is 3336C0003X and license number is 0201004150, license state is located at Virginia. Costco Wholesale physically located at 2700 Potomac Mills Cir, Woodbridge VA, 22192-4625. NPI Number 1033115704 has the healthcare provider type.

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1063534493 NPI number is provided on an as is basis without warranty of any kind. 1063534493 is maintained by the National Plan & Provider Enumeration System. The contents of Costco Wholesale are for informational purposes only.