Costco Pharmacy #1020

LBN: Costco Wholesale Corporation
Costco Pharmacy #1020 is an health care organization with primary practice located at 2150 Deming Way , Middleton WI 53562. 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 (608) 824-3959, or through Stephens, Richard via phone (425) 313-8259.

Contact Information

Primary practice address
2150 Deming Way Middleton WI 53562
Phone: (608) 824-3959
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stephens, Richard
Phone: (425) 313-8259

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 8865-42 Wisconsin

Profile Details

NPI number 1104088665
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Pharmacy #1020
Authorized official Stephens, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2008
Last updated Feb 7th, 2024 - about 2 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 1104088665 NPPES
Other 5130858 NCPDP PROVIDER IDENTIFICATION NUMBER

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