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Costco Wholesale Corporation
Community/Retail Pharmacy in Mettawa, Illinois
NPI 1134439029

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, IL and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in Mettawa, IL. The NPI Number for Costco Wholesale Corporation is 1134439029 and holds a License No. 054017581 (Illinois).

The current practice location address for Costco Wholesale Corporation is 25901 N Riverwoods Rd, Mettawa, IL and can be reached out via phone at 847-231-1309 and via fax at 847-231-1306.

Location: 25901 N Riverwoods Rd, Mettawa, IL, 98124-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134439029
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
25901 N Riverwoods Rd, Mettawa, IL, 98124-1300
Phone Number
847-231-1309
Fax Number
847-231-1306
Provider Enumeration Date
10/14/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2127103 01 PK
1484904 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
25901 N Riverwoods Rd
City
Mettawa
State
Illinois
Zip
60045
Phone Number
847-231-1309
Fax Number
847-231-1306
person
Provider Business Mailing Address Details
Address
25901 N Riverwoods Rd
City
Mettawa
State
Illinois
Zip
60045
Phone Number
847-231-1309
Fax Number
847-231-1306
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
054017581 (Illinois)
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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