Costco Pharmacy #1237

LBN: Costco Wholesale Corporation
Costco Pharmacy #1237 is an health care organization with primary practice located at 12515 Portside Pkwy , La Vista NE 68128-8224. 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 (402) 378-7408, or through Taki, Robert via phone (425) 313-6670.

Contact Information

Primary practice address
12515 Portside Pkwy La Vista NE 68128-8224
Phone: (402) 378-7408
Fax: (402) 378-7399
Website:
Map and Directions
Authorized official contact:
Name: Taki, Robert
Phone: (425) 313-6670

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 678 Nebraska

Profile Details

NPI number 1891140091
LBN Legal business name Costco Wholesale Corporation
DBA Doing business as Costco Pharmacy #1237
Authorized official Taki, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2016
Last updated Nov 16th, 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 1891140091 NPPES
Other 2163917 PK

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