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Costco Wholesale Corporation
Community/Retail Pharmacy in East Peoria, Illinois
NPI 1184976508

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Issaquah, IL and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in East Peoria, IL. The NPI Number for Costco Wholesale Corporation is 1184976508 and holds a License No. 054018048 (Illinois).

The current practice location address for Costco Wholesale Corporation is 301 W Washington St, East Peoria, IL and can be reached out via phone at 309-427-2931 and via fax at 309-427-2932.

Location: 301 W Washington St, East Peoria, IL, 98027-8990
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184976508
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
301 W Washington St, East Peoria, IL, 98027-8990
Phone Number
309-427-2931
Fax Number
309-427-2932
Provider Enumeration Date
10/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2137371 01 PK
1487417 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
301 W Washington St
City
East Peoria
State
Illinois
Zip
61611
Phone Number
309-427-2931
Fax Number
309-427-2932
person
Provider Business Mailing Address Details
Address
301 W Washington St
City
East Peoria
State
Illinois
Zip
61611
Phone Number
309-427-2931
Fax Number
309-427-2932
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
054018048 (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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