Costco Wholesale Corporation

LBN: Costco Wholesale Corporation
Costco Wholesale Corporation is an health care organization with primary practice located at 3801 Pelandale Ave , Modesto CA 95356. 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 (209) 342-4902, or through Curtis, Victor via phone (425) 313-7206.

Contact Information

Primary practice address
3801 Pelandale Ave Modesto CA 95356
Phone: (209) 342-4902
Fax: (209) 342-4909
Website:
Map and Directions
Authorized official contact:
Name: Curtis, Victor
Phone: (425) 313-7206

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY44762 California

Profile Details

NPI number 1477663086
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 24th, 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 1477663086 NPPES
Other 0598815 NCPDP PROVIDER IDENTIFICATION NUMBER

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