Costco Pharmacy

LBN: Costco Wholesale Corporation
Costco Pharmacy is an health care organization with primary practice located at 16616 Twin Lakes Ave , Marysville WA 98271-4701. 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 (360) 652-4539, or through Mastromonica, Michael via phone (425) 313-2892.

Contact Information

Primary practice address
16616 Twin Lakes Ave Marysville WA 98271-4701
Phone: (360) 652-4539
Fax: (360) 652-4536
Website:
Map and Directions
Authorized official contact:
Name: Mastromonica, Michael
Phone: (425) 313-2892

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 58741 Washington

Profile Details

NPI number 1205920550
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Pharmacy
Authorized official Mastromonica, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
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 1205920550 NPPES
Other 2108675 PK

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