Costco Pharmacy 218 | |
21398 Price Cascades Plaza Sterling VA 20164 | |
(703) 406-7048 | |
(703) 406-7045 |
Full Name | Costco Pharmacy 218 |
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Speciality | Clinic/center - Community Health |
Location | 21398 Price Cascades Plaza, Sterling, Virginia |
Authorized Official Name and Position | Elsa Lam (STAFF PHARMACIST) |
Authorized Official Contact | 7034067046 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Costco Pharmacy 218 21398 Price Cascades Plaza Sterling VA 20164 Ph: (703) 406-7048 | Costco Pharmacy 218 21398 Price Cascades Plaza Sterling VA 20164 Ph: (703) 406-7048 |
NPI Number | 1770842536 |
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Provider Enumeration Date | 05/14/2012 |
Last Update Date | 05/14/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770842536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | 0202010260 (Virginia) | Primary |
261QP2300X | Clinic/center - Primary Care | 0202010260 (Virginia) | Secondary |
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