Costco Wholesale Corporation
LBN: Costco Wholesale Corporation
Costco Wholesale Corporation is an health care organization with primary practice located at 198 Plaza Dr , Vallejo CA 94591. 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 (707) 553-6402, or through Curtis, Victor via phone (425) 313-7206.
Contact Information
Primary practice address
198 Plaza Dr
Vallejo CA 94591
Phone: (707) 553-6402
Fax: (707) 553-6417
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY40374 | California |
Profile Details
NPI number | 1740390343 |
---|---|
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740390343 | NPPES |
Other | 1990643 | PK | |
MEDICAID | PHA403740 | PK |
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