Costco Pharmacy #418

LBN: Costco Wholesale Corporation
Costco Pharmacy #418 is an health care organization with primary practice located at 900 S Harbor Blvd , Fullerton CA 92832. 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 (714) 738-7532, or through Curtis, Victor via phone (425) 313-7206.

Contact Information

Primary practice address
900 S Harbor Blvd Fullerton CA 92832
Fax: (714) 738-7538
Website:
Authorized official contact:
Name: Curtis, Victor

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY41648 California

Profile Details

NPI number 1255441853
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Pharmacy #418
Authorized official Curtis, Victor
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 24th, 2018 - about 7 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 1255441853 NPPES
Other 0538580 NCPDP PROVIDER IDENTIFICATION NUMBER

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