Costco Pharmacy

LBN: Costco Wholesale Corporation
Costco Pharmacy is an health care organization with primary practice located at 3700 Price Club Blvd , Midlothian VA 23112-3371. 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 (804) 674-5861, or through Taki, Robert via phone (425) 313-6670.

Contact Information

Primary practice address
3700 Price Club Blvd Midlothian VA 23112-3371
Phone: (804) 674-5861
Fax: (804) 674-6502
Website:
Map and Directions
Authorized official contact:
Name: Taki, Robert
Phone: (425) 313-6670

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 0201003356 Virginia
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1427168053
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Pharmacy
Authorized official Taki, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated May 11th, 2008 - about 16 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 1427168053 NPPES
Virginia MEDICAID 8502919
Virginia Other 4830089

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