Costco Wholesale Corporation

LBN: Costco Wholesale Corporation
Costco Wholesale Corporation is an health care organization with primary practice located at 119 Daggett Dr , West Springfield MA 01089. 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 (413) 747-5524, or through Curtis, Victor via phone (425) 313-7206.

Contact Information

Primary practice address
119 Daggett Dr West Springfield MA 01089
Phone: (413) 747-5524
Fax: (413) 731-5430
Website:
Map and Directions
Authorized official contact:
Name: Curtis, Victor
Phone: (425) 313-7206

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X DS19461 Massachusetts

Profile Details

NPI number 1215047832
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as
Authorized official Curtis, Victor
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 23rd, 2018 - about 6 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 1215047832 NPPES
Massachusetts MEDICAID 0447404
Massachusetts Other 2036523

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