Costco Wholesale Corporation in Tustin - Community/retail Pharmacy
Costco Wholesale Corporation - NPI 1114130002
Costco Wholesale Corporation is a Community/retail Pharmacy in Tustin, California. Costco Wholesale Corporation practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Costco Wholesale Corporation is 1114130002. The last update date is 2023-08-03.
Costco Wholesale Corporation's current location address is 2700 Park Ave, Tustin, California. You can contact this provider via phone number 7143381942 and fax number 7143381936. The mailing address for Costco Wholesale Corporation is 2700 Park Ave, Tustin, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Costco Wholesale Corporation |
|---|---|
| Address | 2700 Park Ave, Tustin, California |
| Phone Number | 7143381942 |
| Fax Number | 7143381936 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AVP PHARMA |
|---|---|
| Authorized Official Name | Mastromonica Michael |
| Telephone Number | 4253132892 |
NPI Number Detail
| NPI Number | 1114130002 |
|---|---|
| Provider Enumeration Date | 2007-05-07 |
| Last Updated Date | 2023-08-03 |
Provider Mailing Address Detail
| Address | 2700 Park Ave |
|---|---|
| City | Tustin |
| State | California (CA) |
| Post Code | 927822708 |
| Phone Number | 7143381942 |
| Fax Number | 7143381936 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 48615 |
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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 |
|---|---|---|---|
| 5626809 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the Costco Wholesale Corporation's unique identification number?
The Costco Wholesale Corporation has been assigned the NPI (National Provider Identifier) Number 1114130002 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Costco Wholesale Corporation is located?
The Costco Wholesale Corporation is situated at the following address: 2700 Park Ave, Tustin, CA, 927822708.
What is Costco Wholesale Corporation's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Costco Wholesale Corporation's specialized field of practice is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of specialization is 3336C0003X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114130002 to Costco Wholesale Corporation?
The Costco Wholesale Corporation received its 1114130002 assignment from the Centers for Medicare & Medicaid Services on 2007-05-07.
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 2023-08-03.