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Costco Wholesale Corporation
Community/Retail Pharmacy in Missoula, Montana
NPI 1649380262

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, MT and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in Missoula, MT. The NPI Number for Costco Wholesale Corporation is 1649380262 and holds a License No. 738 (Montana).

The current practice location address for Costco Wholesale Corporation is 3220 N Reserve St, Missoula, MT and can be reached out via phone at 406-542-3807 and via fax at 406-542-3692.

Location: 3220 N Reserve St, Missoula, MT, 98124-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649380262
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
3220 N Reserve St, Missoula, MT, 98124-1300
Phone Number
406-542-3807
Fax Number
406-542-3692
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000220286 05 MT
2705020 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
3220 N Reserve St
City
Missoula
State
Montana
Zip
59808
Phone Number
406-542-3807
Fax Number
406-542-3692
person
Provider Business Mailing Address Details
Address
3220 N Reserve St
City
Missoula
State
Montana
Zip
59808
Phone Number
406-542-3807
Fax Number
406-542-3692
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
738 (Montana)
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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