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Costco Wholesale Corporation
Community/Retail Pharmacy in Fontana, California
NPI 1255414397

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, CA and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in Fontana, CA. The NPI Number for Costco Wholesale Corporation is 1255414397 and holds a License No. PHY48304 (California).

The current practice location address for Costco Wholesale Corporation is 16505 Sierra Lakes Pkwy, Fontana, CA and can be reached out via phone at 909-770-5648 and via fax at 909-770-5645.

Location: 16505 Sierra Lakes Pkwy, Fontana, CA, 98124-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255414397
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
16505 Sierra Lakes Pkwy, Fontana, CA, 98124-1300
Phone Number
909-770-5648
Fax Number
909-770-5645
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5624247 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
16505 Sierra Lakes Pkwy
City
Fontana
State
California
Zip
92336
Phone Number
909-770-5648
Fax Number
909-770-5645
person
Provider Business Mailing Address Details
Address
16505 Sierra Lakes Pkwy
City
Fontana
State
California
Zip
92336
Phone Number
909-770-5648
Fax Number
909-770-5645
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHY48304 (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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