Costco Wholesale Corporation in Clackamas - Community/retail Pharmacy
Costco Wholesale Corporation - NPI 1023128659
Costco Wholesale Corporation is a Community/retail Pharmacy in Clackamas, Oregon. Costco Wholesale Corporation practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Costco Wholesale Corporation is 1023128659. The last update date is 2014-08-18.
Costco Wholesale Corporation's current location address is 13130 Se 84th Ave, Clackamas, Oregon. You can contact this provider via phone number 5037945520 and fax number 5037945528. The mailing address for Costco Wholesale Corporation is 13130 Se 84th Ave, Clackamas, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Costco Wholesale Corporation |
|---|---|
| Address | 13130 Se 84th Ave, Clackamas, Oregon |
| Phone Number | 5037945520 |
| Fax Number | 5037945528 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AVP PHARMA |
|---|---|
| Authorized Official Name | Mastromonica Michael |
| Telephone Number | 4253132892 |
NPI Number Detail
| NPI Number | 1023128659 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2014-08-18 |
Provider Mailing Address Detail
| Address | 13130 Se 84th Ave |
|---|---|
| City | Clackamas |
| State | Oregon (OR) |
| Post Code | 970159733 |
| Phone Number | 5037945520 |
| Fax Number | 5037945528 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 1030 |
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Definition: 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 pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3812585 | NCPDP IDENTIFICATION NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Costco Wholesale Corporation by the Centers for Medicare & Medicaid Services?
The Costco Wholesale Corporation has been assigned the NPI (National Provider Identifier) 1023128659 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Costco Wholesale Corporation is located?
The Costco Wholesale Corporation is situated at the following address: 13130 Se 84Th Ave, Clackamas, OR, 970159733.
What is Costco Wholesale Corporation's area of expertise and its corresponding taxonomy classification?
The Costco Wholesale Corporation's field of specialization is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their areas of practice.
On what date did the Costco Wholesale Corporation receive its 1023128659 assignment from the Centers for Medicare & Medicaid Services?
The Costco Wholesale Corporation was assigned its 1023128659 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the Costco Wholesale Corporation's details last updated?
The information pertaining to the Costco Wholesale Corporation, including its address, specialty, and other details, was most recently updated on 2014-08-18.