Costco Wholesale Corporation in Southlake - Community/retail Pharmacy
Costco Wholesale Corporation - NPI 1093825622
Costco Wholesale Corporation is a Community/retail Pharmacy in Southlake, Texas. Costco Wholesale Corporation practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Costco Wholesale Corporation is 1093825622. The last update date is 2018-07-24.
Costco Wholesale Corporation's current location address is 2601 E State Highway 114, Southlake, Texas. You can contact this provider via phone number 8177492802 and fax number 8177492820. The mailing address for Costco Wholesale Corporation is 2601 E State Highway 114, Southlake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Costco Wholesale Corporation |
|---|---|
| Address | 2601 E State Highway 114, Southlake, Texas |
| Phone Number | 8177492802 |
| Fax Number | 8177492820 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SVP PHARMA |
|---|---|
| Authorized Official Name | Curtis Victor |
| Telephone Number | 4253137206 |
NPI Number Detail
| NPI Number | 1093825622 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2018-07-24 |
Provider Mailing Address Detail
| Address | 2601 E State Highway 114 |
|---|---|
| City | Southlake |
| State | Texas (TX) |
| Post Code | 76092 |
| Phone Number | 8177492802 |
| Fax Number | 8177492820 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 20770 |
|
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 |
|---|---|---|---|
| 4518378 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the unique identification code assigned to Costco Wholesale Corporation by the Centers for Medicare & Medicaid Services?
The Costco Wholesale Corporation has been issued the NPI (National Provider Identifier) 1093825622. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Costco Wholesale Corporation's facilities are geographically located?
The facilities of Costco Wholesale Corporation are physically situated at the following location: 2601 E State Highway 114, Southlake, TX, 76092.
What is Costco Wholesale Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Costco Wholesale Corporation is Community/retail Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093825622 to Costco Wholesale Corporation?
The Costco Wholesale Corporation received its 1093825622 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the details related to Costco Wholesale Corporation most recently updated or revised?
The information pertaining to Costco Wholesale Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2018-07-24.
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