Costco Pharmacy #1178

LBN: Costco Wholesale Corporation
Costco Pharmacy #1178 is an health care organization with primary practice located at 4705 Weitzel St. , Timnath CO 80547. 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 (970) 416-6125, or through Mastromonica, Michael via phone (425) 313-2892.

Contact Information

Primary practice address
4705 Weitzel St. Timnath CO 80547
Phone: (970) 416-6125
Fax: (970) 416-6116
Website:
Map and Directions
Authorized official contact:
Name: Mastromonica, Michael
Phone: (425) 313-2892

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PDO.1680000072 Colorado

Profile Details

NPI number 1467867648
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Pharmacy #1178
Authorized official Mastromonica, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2014
Last updated Sep 24th, 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 1467867648 NPPES
Other 2146709 PK

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