Costco Pharmacy 1033

LBN: Costco Wholesale Corporation
Costco Pharmacy 1033 is an health care organization with primary practice located at 305 W Quinn Rd , Pocatello ID 83201. 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 (208) 238-4049, or through Stephens, Richard B via phone (425) 313-8259.

Contact Information

Primary practice address
305 W Quinn Rd Pocatello ID 83201
Phone: (208) 238-4049
Fax: (208) 238-4046
Website:
Map and Directions
Authorized official contact:
Name: Stephens, Richard B
Phone: (425) 313-8259

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2273RP Idaho

Profile Details

NPI number 1891942413
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Pharmacy 1033
Authorized official Stephens, Richard B
Entity Organization
Organization subpart 1 No
Enumeration date Aug 26th, 2008
Last updated Nov 21st, 2023 - about last year

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 1891942413 NPPES
Other 1307924 NCPDP PROVIDER IDENTIFICATION NUMBER

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