Costco Pharmacy #1249

LBN: Costco Wholesale Corporation
Costco Pharmacy #1249 is an health care organization with primary practice located at 2225 Grand Cypress Dr , Lutz FL 33559-6797. 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 (813) 279-7033, or through Macdougall, Cleopatra via phone (425) 416-2660.

Contact Information

Primary practice address
2225 Grand Cypress Dr Lutz FL 33559-6797
Phone: (813) 279-7033
Fax: (813) 279-7024
Website:
Map and Directions
Authorized official contact:
Name: Macdougall, Cleopatra
Phone: (425) 416-2660

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH30534 Florida

Profile Details

NPI number 1760939128
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Pharmacy #1249
Authorized official Macdougall, Cleopatra
Entity Organization
Organization subpart 1 No
Enumeration date Sep 2nd, 2016
Last updated Jan 18th, 2017 - about 7 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 1760939128 NPPES
Other 2167086 PK

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