Costco Pharmacy # 181

LBN: Costco Wholesale Corporation
Costco Pharmacy # 181 is an health care organization with primary practice located at 16580 Nw 59Th Ave , Miami Lakes FL 33014-5611. 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 (305) 825-2662, or through Mastromonica, Michael via phone (425) 313-2892.

Contact Information

Primary practice address
16580 Nw 59Th Ave Miami Lakes FL 33014-5611
Phone: (305) 825-2662
Fax: (305) 821-2132
Website:
Map and Directions
Authorized official contact:
Name: Mastromonica, Michael
Phone: (425) 313-2892

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH0016676 Florida

Profile Details

NPI number 1447360052
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Pharmacy # 181
Authorized official Mastromonica, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 18th, 2014 - about 10 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 1447360052 NPPES
Other 1086506 NCPDP PROVIDER IDENTIFICATION NUMBER

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