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Costco Wholesale Corporation
Community/Retail Pharmacy in Santa Rosa, California
NPI 1114037728

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, CA and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in Santa Rosa, CA. The NPI Number for Costco Wholesale Corporation is 1114037728 and holds a License No. PHY41310 (California).

The current practice location address for Costco Wholesale Corporation is 1900 Santa Rosa Ave, Santa Rosa, CA and can be reached out via phone at 707-578-1711 and via fax at 707-578-6287.

Location: 1900 Santa Rosa Ave, Santa Rosa, CA, 98124-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114037728
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
1900 Santa Rosa Ave, Santa Rosa, CA, 98124-1300
Phone Number
707-578-1711
Fax Number
707-578-6287
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0591633 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
1900 Santa Rosa Ave
City
Santa Rosa
State
California
Zip
95407-7621
Phone Number
707-578-1711
Fax Number
707-578-6287
person
Provider Business Mailing Address Details
Address
1900 Santa Rosa Ave
City
Santa Rosa
State
California
Zip
95407-7621
Phone Number
707-578-1711
Fax Number
707-578-6287
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHY41310 (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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