Costco Pharmacy

LBN: Costco Wholesale Corporation
Costco Pharmacy is an health care organization with primary practice located at 35804 Detroit Rd , Avon OH 44011-1681. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Costco Wholesale Corporation can be contacted via phone (440) 930-0102, or through Mastromonica, Michael via phone (425) 313-2892.

Contact Information

Primary practice address
35804 Detroit Rd Avon OH 44011-1681
Phone: (440) 930-0102
Fax: (440) 930-0123
Website:
Map and Directions
Authorized official contact:
Name: Mastromonica, Michael
Phone: (425) 313-2892

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X RTP.021342850-03 Ohio

Profile Details

NPI number 1770693301
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Pharmacy
Authorized official Mastromonica, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 20th, 2016 - about 10 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 1770693301 NPPES
Other 2078727 PK

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