Organization
COSTCO PHARMACY 218
Active
Organization
COSTCO PHARMACY 218
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELSA LAM RPH (STAFF PHARMACIST)
(703) 406-7046
Entity
Organization
Contact information
Practice address
21398 PRICE CASCADES PLAZA, STERLING, VA 20164
(703) 406-7048
(703) 406-7045
Mailing address
21398 PRICE CASCADES PLAZA, STERLING, VA 20164
(703) 406-7048
(703) 406-7045
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
0202010260
VA
261QP2300X
Primary Care Clinic/Center
0202010260
VA
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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