Costco Pharmacy # 1001

LBN: Costco Wholesale Corporation
Costco Pharmacy # 1001 is an health care organization with primary practice located at 2700 Park Ave , Tustin CA 92782-2708. 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 (714) 338-1942, or through Mastromonica, Michael via phone (425) 313-2892.

Contact Information

Primary practice address
2700 Park Ave Tustin CA 92782-2708
Phone: (714) 338-1942
Fax: (714) 338-1936
Website:
Map and Directions
Authorized official contact:
Name: Mastromonica, Michael
Phone: (425) 313-2892

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 48615 California

Profile Details

NPI number 1114130002
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Pharmacy # 1001
Authorized official Mastromonica, Michael
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2007
Last updated Aug 3rd, 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 1114130002 NPPES
Other 5626809 NCPDP PROVIDER IDENTIFICATION NUMBER

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