Costco Pharmacy #669

LBN: Costco Wholesale Corporation
Costco Pharmacy #669 is an health care organization with primary practice located at 2601 E State Highway 114 , Southlake TX 76092. 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 (817) 749-2802, or through Stephens, Richard via phone (425) 313-8259.

Contact Information

Primary practice address
2601 E State Highway 114 Southlake TX 76092
Phone: (817) 749-2802
Fax: (817) 749-2820
Website:
Map and Directions
Authorized official contact:
Name: Stephens, Richard
Phone: (425) 313-8259

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 20770 Texas

Profile Details

NPI number 1093825622
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Pharmacy #669
Authorized official Stephens, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated May 14th, 2024 - about 7 months 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 1093825622 NPPES
Other 4518378 NCPDP PROVIDER IDENTIFICATION NUMBER

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