Costco Wholesale Corporation in Antioch - Community/retail Pharmacy
Costco Wholesale Corporation - NPI 1043320641
Costco Wholesale Corporation is a Community/retail Pharmacy in Antioch, California. Costco Wholesale Corporation practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Costco Wholesale Corporation is 1043320641. The last update date is 2014-08-19.
Costco Wholesale Corporation's current location address is 2201 Verne Roberts Cir, Antioch, California. You can contact this provider via phone number 9254704612 and fax number 9254704609. The mailing address for Costco Wholesale Corporation is 2201 Verne Roberts Cir, Antioch, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Costco Wholesale Corporation |
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Address | 2201 Verne Roberts Cir, Antioch, California |
Phone Number | 9254704612 |
Fax Number | 9254704609 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | AVP PHARMA |
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Authorized Official Name | Mastromonica Michael |
Telephone Number | 4253132892 |
NPI Number Detail
NPI Number | 1043320641 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2014-08-19 |
Provider Mailing Address Detail
Address | 2201 Verne Roberts Cir |
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City | Antioch |
State | California (CA) |
Post Code | 945097911 |
Phone Number | 9254704612 |
Fax Number | 9254704609 |
Provider's Primary Taxonomy Detail
Speciality | Community/retail Pharmacy |
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Taxonomy | 3336C0003X |
Licence No | PHY41246 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
566438 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the unique provider identifier assigned to Costco Wholesale Corporation?
The Costco Wholesale Corporation has been issued the NPI (National Provider Identifier) 1043320641 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Costco Wholesale Corporation is physically located?
The Costco Wholesale Corporation is situated at the following address: 2201 Verne Roberts Cir, Antioch, CA 945097911.
What is the Costco Wholesale Corporation's area of specialization and corresponding taxonomy classification?
The Costco Wholesale Corporation's specialty field is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their specialties.
On what date did the Costco Wholesale Corporation receive the assignment of its 1043320641 from the Centers for Medicare & Medicaid Services?
The Costco Wholesale Corporation was issued its 1043320641 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date was the information pertaining to Costco Wholesale Corporation, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Costco Wholesale Corporation, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-08-19.
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