COSTCO WAREHOUSE NPI 1205237138

NPI Information

COSTCO WAREHOUSE is a corporate health clinic center in Grand Rapids, MI. COSTCO WAREHOUSE NPI is 1205237138. The provider is registered as an organization entity type.

The provider's business location address is:

5100 28TH ST SE
GRAND RAPIDS, MI
ZIP 49512-049
Phone: (616) 233-4428

The provider's authorized official is Navjit Kaur .
The authorized official title is Pharmacist and has the following contact phone number (517) 303-6304.

The enumeration date for this NPI number is 9/10/2014 and was last updated on 9/10/2014.

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:

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