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Costco Wholesale Corporation
Community/Retail Pharmacy in Southlake, Texas
NPI 1093825622

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, TX and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in Southlake, TX. The NPI Number for Costco Wholesale Corporation is 1093825622 and holds a License No. 20770 (Texas).

The current practice location address for Costco Wholesale Corporation is 2601 E State Highway 114, Southlake, TX and can be reached out via phone at 817-749-2802 and via fax at 817-749-2820.

Location: 2601 E State Highway 114, Southlake, TX, 98124-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093825622
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
2601 E State Highway 114, Southlake, TX, 98124-1300
Phone Number
817-749-2802
Fax Number
817-749-2820
Provider Enumeration Date
08/30/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4518378 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
2601 E State Highway 114
City
Southlake
State
Texas
Zip
76092
Phone Number
817-749-2802
Fax Number
817-749-2820
person
Provider Business Mailing Address Details
Address
2601 E State Highway 114
City
Southlake
State
Texas
Zip
76092
Phone Number
817-749-2802
Fax Number
817-749-2820
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
20770 (Texas)
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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