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Costco Wholesale Corporation
Community/Retail Pharmacy in Jacksonville, Florida
NPI 1528178134

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, FL and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in Jacksonville, FL. The NPI Number for Costco Wholesale Corporation is 1528178134 and holds a License No. PH17572 (Florida).

The current practice location address for Costco Wholesale Corporation is 4901 Gate Pkwy, Jacksonville, FL and can be reached out via phone at 904-997-7002 and via fax at 904-997-7009.

Location: 4901 Gate Pkwy, Jacksonville, FL, 98124-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528178134
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
4901 Gate Pkwy, Jacksonville, FL, 98124-1300
Phone Number
904-997-7002
Fax Number
904-997-7009
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1091266 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
4901 Gate Pkwy
City
Jacksonville
State
Florida
Zip
32246
Phone Number
904-997-7002
Fax Number
904-997-7009
person
Provider Business Mailing Address Details
Address
4901 Gate Pkwy
City
Jacksonville
State
Florida
Zip
32246
Phone Number
904-997-7002
Fax Number
904-997-7009
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PH17572 (Florida)
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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