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Costco Wholesale Corporation
Community/Retail Pharmacy in Fairfax, Virginia
NPI 1609986231

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, VA and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in Fairfax, VA. The NPI Number for Costco Wholesale Corporation is 1609986231 and holds a License No. 0201003261 (Virginia).

The current practice location address for Costco Wholesale Corporation is 4725 W Ox Rd, Fairfax, VA and can be reached out via phone at 703-802-1229 and via fax at 703-332-3221.

Location: 4725 W Ox Rd, Fairfax, VA, 98124-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609986231
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
4725 W Ox Rd, Fairfax, VA, 98124-1300
Phone Number
703-802-1229
Fax Number
703-332-3221
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4829000 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
4725 W Ox Rd
City
Fairfax
State
Virginia
Zip
22030-6125
Phone Number
703-802-1229
Fax Number
703-332-3221
person
Provider Business Mailing Address Details
Address
4725 W Ox Rd
City
Fairfax
State
Virginia
Zip
22030-6125
Phone Number
703-802-1229
Fax Number
703-332-3221
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
0201003261 (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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