Costco Pharmacy
LBN: Costco Wholesale Corporation
Costco Pharmacy is an health care organization with primary practice located at 1085 Hanes Mall Blvd , Winston Salem NC 27103-1310. 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 (336) 970-2302, or through Mastromonica, Michael via phone (425) 313-2892.
Contact Information
Primary practice address
1085 Hanes Mall Blvd
Winston Salem NC 27103-1310
Phone: (336) 970-2302
Fax: (336) 970-2321
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Community/Retail Pharmacy | 3336C0003X | 7833 | North Carolina |
Profile Details
NPI number | 1871603407 |
---|---|
LBN Legal business name | Costco Wholesale Corporation |
DBA Doing business as | Costco Pharmacy |
Authorized official | Mastromonica, Michael |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 30th, 2006 |
Last updated | Jul 25th, 2016 - about 8 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 | 1871603407 | NPPES |
Other | 2068902 | PK |
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