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Costco Wholesale Corporation
Community/Retail Pharmacy in Stockton, California
NPI 1396855904

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, CA and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in Stockton, CA. The NPI Number for Costco Wholesale Corporation is 1396855904 and holds a License No. PHY40360 (California).

The current practice location address for Costco Wholesale Corporation is 1616 E Hammer Ln, Stockton, CA and can be reached out via phone at 209-478-7448 and via fax at 209-478-7523.

Location: 1616 E Hammer Ln, Stockton, CA, 98124-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396855904
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
1616 E Hammer Ln, Stockton, CA, 98124-1300
Phone Number
209-478-7448
Fax Number
209-478-7523
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0590542 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
1616 E Hammer Ln
City
Stockton
State
California
Zip
95210
Phone Number
209-478-7448
Fax Number
209-478-7523
person
Provider Business Mailing Address Details
Address
1616 E Hammer Ln
City
Stockton
State
California
Zip
95210
Phone Number
209-478-7448
Fax Number
209-478-7523
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHY40360 (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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