Costco Pharmacy #475

LBN: Costco Wholesale Corporation
Costco Pharmacy #475 is an health care organization with primary practice located at 1600 El Camino Real , South San Francisco CA 94080-1206. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Costco Wholesale Corporation can be contacted via phone (650) 757-3002, or through Mastromonica, Michael via phone (425) 313-2892.

Contact Information

Primary practice address
1600 El Camino Real South San Francisco CA 94080-1206
Phone: (650) 757-3002
Fax: (650) 757-3009
Website:
Map and Directions
Authorized official contact:
Name: Mastromonica, Michael
Phone: (425) 313-2892

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY44956 California

Profile Details

NPI number 1073615472
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Pharmacy #475
Authorized official Mastromonica, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2006
Last updated Aug 14th, 2014 - about 11 years ago

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 1073615472 NPPES
Other 0596835 NCPDP PROVIDER IDENTIFICATION NUMBER

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