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Costco Wholesale Corporation
Community/Retail Pharmacy in La Quinta, California
NPI 1164505202

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, CA and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in La Quinta, CA. The NPI Number for Costco Wholesale Corporation is 1164505202 and holds a License No. PHY48311 (California).

The current practice location address for Costco Wholesale Corporation is 79795 Highway 111, La Quinta, CA and can be reached out via phone at 760-342-0656 and via fax at 760-775-0367.

Location: 79795 Highway 111, La Quinta, CA, 98124-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164505202
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
79795 Highway 111, La Quinta, CA, 98124-1300
Phone Number
760-342-0656
Fax Number
760-775-0367
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5624259 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
79795 Highway 111
City
La Quinta
State
California
Zip
92253-4756
Phone Number
760-342-0656
Fax Number
760-775-0367
person
Provider Business Mailing Address Details
Address
79795 Highway 111
City
La Quinta
State
California
Zip
92253-4756
Phone Number
760-342-0656
Fax Number
760-775-0367
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHY48311 (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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