Costco Pharmacy #466

LBN: Costco Wholesale Corporation
Costco Pharmacy #466 is an health care organization with primary practice located at 3911 Highway 69 , Prescott AZ 86301. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Costco Wholesale Corporation can be contacted via phone (928) 541-2218, or through Stephens, Richard via phone (425) 313-8259.

Contact Information

Primary practice address
3911 Highway 69 Prescott AZ 86301
Phone: (928) 541-2218
Fax: (928) 541-2257
Website:
Map and Directions
Authorized official contact:
Name: Stephens, Richard
Phone: (425) 313-8259

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2806 Arizona

Profile Details

NPI number 1023128626
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Pharmacy #466
Authorized official Stephens, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 30th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023128626 NPPES
Other 1989910 PK

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