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
Address 2201 Verne Roberts Cir, Antioch, California
Phone Number 9254704612
Fax Number 9254704609
Sole Proprietor --
Credentials --

Authorized Official

Title or Position AVP PHARMA
Authorized Official Name Mastromonica Michael
Telephone Number 4253132892

NPI Number Detail

NPI Number 1043320641
Provider Enumeration Date 2006-08-30
Last Updated Date 2014-08-19

Provider Mailing Address Detail

Address 2201 Verne Roberts Cir
City Antioch
State California (CA)
Post Code 945097911
Phone Number 9254704612
Fax Number 9254704609

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
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

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FAQs about Costco Wholesale Corporation

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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