institution
Costco Wholesale Corporation
Community/Retail Pharmacy in Maple Grove, Minnesota
NPI 1679667927

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, MN and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in Maple Grove, MN. The NPI Number for Costco Wholesale Corporation is 1679667927 and holds a License No. 262900 (Minnesota).

The current practice location address for Costco Wholesale Corporation is 11330 Fountains Dr, Maple Grove, MN and can be reached out via phone at 763-494-8059 and via fax at 763-494-8056.

Location: 11330 Fountains Dr, Maple Grove, MN, 98124-1300
institution
Provider Profile Details
NPI Number
1679667927
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
11330 Fountains Dr, Maple Grove, MN, 98124-1300
Phone Number
763-494-8059
Fax Number
763-494-8056
Provider Enumeration Date
10/03/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2427727 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
11330 Fountains Dr
City
State
Zip
55369
Phone Number
763-494-8059
Fax Number
763-494-8056
person
Provider Business Mailing Address Details
Address
11330 Fountains Dr
City
State
Zip
55369
Phone Number
763-494-8059
Fax Number
763-494-8056
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
License No.
262900 (Minnesota)
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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