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COSTCO WHOLESALE CORPORATION NPI 1467867648


NPI Information

NPI: 1467867648
Provider Name: COSTCO WHOLESALE CORPORATION

Doing Business As: COSTCO PHARMACY #1178

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
4705 WEITZEL ST.
TIMNATH, CO
ZIP 80547
Phone: (970) 416-6125
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COSTCO WHOLESALE CORPORATION is a community/retail pharmacy pharmacy in Timnath, CO. The provider is 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. COSTCO WHOLESALE CORPORATION NPI is 1467867648. The provider is registered as an organization entity type.
The provider Is Doing Business As Costco Pharmacy #1178.

The provider's business location address is:

4705 WEITZEL ST.
TIMNATH, CO
ZIP 80547
Phone: (970) 416-6125
Fax: (970) 416-6116

The provider's authorized official is Michael Mastromonica .
The authorized official title is Avp -pharmacy Services and has the following contact phone number (425) 313-2892.

The enumeration date for this NPI number is 6/25/2014 and was last updated on 9/24/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyPDO.1680000072COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12146709OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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