Costco Pharmacy # 239

LBN: Costco Wholesale Corporation
Costco Pharmacy # 239 is an health care organization with primary practice located at 251 Front Royal Pike , Winchester VA 22602-7319. 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 (540) 722-9495, or through Mastromonica, Michael via phone (425) 313-2892.

Contact Information

Primary practice address
251 Front Royal Pike Winchester VA 22602-7319
Fax: (540) 665-1265
Website:
Authorized official contact:
Name: Mastromonica, Michael

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 0201003244 Virginia

Profile Details

NPI number 1790895324
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Pharmacy # 239
Authorized official Mastromonica, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Aug 18th, 2014 - about 11 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 1790895324 NPPES
Other 4828882 NCPDP PROVIDER IDENTIFICATION NUMBER

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