Costco Pharmacy #1492

LBN: Costco Wholesale Corporation
Costco Pharmacy #1492 is an health care organization with primary practice located at 4885 27Th Ave Se , Salem OR 97306-6919. 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 (503) 371-8739, or through Curtis, Victor via phone (425) 313-7206.

Contact Information

Primary practice address
4885 27Th Ave Se Salem OR 97306-6919
Phone: (503) 371-8739
Fax: (503) 371-0294
Website:
Map and Directions
Authorized official contact:
Name: Curtis, Victor
Phone: (425) 313-7206

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 0001224 Oregon

Profile Details

NPI number 1205946837
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Pharmacy #1492
Authorized official Curtis, Victor
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 9th, 2022 - about 4 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 1205946837 NPPES
Other 3810771 NCPDP IDENTIFICATION NUMBER

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