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Costco Wholesale Corporation
Community/Retail Pharmacy in Manassas, Virginia
NPI 1245340876

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, VA and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in Manassas, VA. The NPI Number for Costco Wholesale Corporation is 1245340876 and holds a License No. 0201003642 (Virginia).

The current practice location address for Costco Wholesale Corporation is 10701 Sudley Manor Dr, Manassas, VA and can be reached out via phone at 703-335-1414 and via fax at 703-335-1537. You can also correspond with Costco Wholesale Corporation through the mailing address at PO BOX 34300, SEATTLE, WA - 98124-1300 (mailing address contact number: 425-313-6670).

Location: 10701 Sudley Manor Dr, Manassas, VA, 98124-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245340876
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
10701 Sudley Manor Dr, Manassas, VA, 98124-1300
Phone Number
703-335-1414
Fax Number
703-335-1537
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4834190 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
10701 Sudley Manor Dr
City
Manassas
State
Virginia
Zip
20109
Phone Number
703-335-1414
Fax Number
703-335-1537
person
Provider Business Mailing Address Details
Address
Po Box 34300
City
Seattle
State
Washington
Zip
98124-1300
Phone Number
425-313-6670
Fax Number
425-313-6595
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
0201003642 (Virginia)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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