Organization
COSTCO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE MARKS THOMPSON RPH (PHARAMACIST)
(540) 338-2704
Entity
Organization
Contact information
Practice address
19193 PINTAIL CT, PURCELLVILLE, VA 20132-3957
(540) 338-2704
Mailing address
19193 PINTAIL CT, PURCELLVILLE, VA 20132-3957
(540) 338-2704
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202011087
VA
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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