Costco Pharmacy # 733

LBN: Costco Wholesale Corporation
Costco Pharmacy # 733 is an health care organization with primary practice located at 198 N 1200 E , Lehi UT 84043-2294. 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 (801) 653-2709, or through Mastromonica, Michael via phone (425) 313-2892.

Contact Information

Primary practice address
198 N 1200 E Lehi UT 84043-2294
Phone: (801) 653-2709
Fax: (801) 653-2706
Website:
Map and Directions
Authorized official contact:
Name: Mastromonica, Michael
Phone: (425) 313-2892

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 62674511703 Utah

Profile Details

NPI number 1396839643
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Pharmacy # 733
Authorized official Mastromonica, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 16th, 2014 - about 12 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 1396839643 NPPES
Other 4610576 NCPDP PROVIDER IDENTIFICATION NUMBER

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