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Costco Wholesale Corporation
Community/Retail Pharmacy in Antioch, California
NPI 1043320641

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, CA and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in Antioch, CA. The NPI Number for Costco Wholesale Corporation is 1043320641 and holds a License No. PHY41246 (California).

The current practice location address for Costco Wholesale Corporation is 2201 Verne Roberts Cir, Antioch, CA and can be reached out via phone at 925-470-4612 and via fax at 925-470-4609. You can also correspond with Costco Wholesale Corporation through the mailing address at PO BOX 34300, SEATTLE, WA - 98124-1300 (mailing address contact number: 425-313-6670).

Location: 2201 Verne Roberts Cir, Antioch, CA, 98124-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043320641
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
2201 Verne Roberts Cir, Antioch, CA, 98124-1300
Phone Number
925-470-4612
Fax Number
925-470-4609
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0566438 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
2201 Verne Roberts Cir
City
Antioch
State
California
Zip
94509-7911
Phone Number
925-470-4612
Fax Number
925-470-4609
person
Provider Business Mailing Address Details
Address
2201 Verne Roberts Cir
City
Antioch
State
California
Zip
94509-7911
Phone Number
925-470-4612
Fax Number
925-470-4609
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHY41246 (California)
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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