Costco Wholesale Corporation in Lake Elsinore - Community/retail Pharmacy

Costco Wholesale Corporation - NPI 1912017567

Costco Wholesale Corporation is a Community/retail Pharmacy in Lake Elsinore, California. Costco Wholesale Corporation practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Costco Wholesale Corporation is 1912017567. The last update date is 2018-07-23.

Costco Wholesale Corporation's current location address is 29315 Central Ave, Lake Elsinore, California. You can contact this provider via phone number 9512536039 and fax number 9512536036. The mailing address for Costco Wholesale Corporation is 29315 Central Ave, Lake Elsinore, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Costco Wholesale Corporation
Address 29315 Central Ave, Lake Elsinore, California
Phone Number 9512536039
Fax Number 9512536036
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SVP PHARMA
Authorized Official Name Curtis Victor
Telephone Number 4253137206

NPI Number Detail

NPI Number 1912017567
Provider Enumeration Date 2006-08-30
Last Updated Date 2018-07-23

Provider Mailing Address Detail

Address 29315 Central Ave
City Lake Elsinore
State California (CA)
Post Code 92532
Phone Number 9512536039
Fax Number 9512536036

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No 47503
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
5618321 NCPDP PROVIDER IDENTIFICATION

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FAQs about Costco Wholesale Corporation

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) 1912017567. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Costco Wholesale Corporation?

The Costco Wholesale Corporation is situated at 29315 Central Ave, in the city of Lake Elsinore, state of CA, with the zip code 92532.

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 originally issue the 1912017567 to Costco Wholesale Corporation?

The Centers for Medicare & Medicaid Services originally issued the 1912017567 to Costco Wholesale Corporation 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 2018-07-23.

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