Costco Wholesale Corporation in Fontana - Community/retail Pharmacy
Costco Wholesale Corporation - NPI 1255414397
Costco Wholesale Corporation is a Community/retail Pharmacy in Fontana, California. Costco Wholesale Corporation practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Costco Wholesale Corporation is 1255414397. The last update date is 2018-07-23.
Costco Wholesale Corporation's current location address is 16505 Sierra Lakes Pkwy, Fontana, California. You can contact this provider via phone number 9097705648 and fax number 9097705645. The mailing address for Costco Wholesale Corporation is 16505 Sierra Lakes Pkwy, Fontana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Costco Wholesale Corporation |
|---|---|
| Address | 16505 Sierra Lakes Pkwy, Fontana, California |
| Phone Number | 9097705648 |
| Fax Number | 9097705645 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SVP PHARMA |
|---|---|
| Authorized Official Name | Curtis Victor |
| Telephone Number | 4253137206 |
NPI Number Detail
| NPI Number | 1255414397 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2018-07-23 |
Provider Mailing Address Detail
| Address | 16505 Sierra Lakes Pkwy |
|---|---|
| City | Fontana |
| State | California (CA) |
| Post Code | 92336 |
| Phone Number | 9097705648 |
| Fax Number | 9097705645 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | PHY48304 |
|
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 |
|---|---|---|---|
| 5624247 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1255414397 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Costco Wholesale Corporation's physical address?
The Costco Wholesale Corporation is physically located at 16505 Sierra Lakes Pkwy, in the city of Fontana, CA, with the postal code 92336.
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 Costco Wholesale Corporation receive its 1255414397 assignment from the Centers for Medicare & Medicaid Services?
The Costco Wholesale Corporation was assigned its 1255414397 on 2006-10-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Costco Wholesale Corporation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Costco Wholesale Corporation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-07-23.
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