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Costco Wholesale Corporation
Community/Retail Pharmacy in San Dimas, California
NPI 1811168685

Costco Wholesale Corporation is a Community/Retail Pharmacy based in Seattle, CA and is specialized in Community/Retail Pharmacy. Costco Wholesale Corporation practices in San Dimas, CA. The NPI Number for Costco Wholesale Corporation is 1811168685 and holds a License No. PHY48887 (California).

The current practice location address for Costco Wholesale Corporation is 520 N Lone Hill Ave, San Dimas, CA and can be reached out via phone at 909-962-5516 and via fax at 909-962-5513.

Location: 520 N Lone Hill Ave, San Dimas, CA, 98124-1300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811168685
Provider Name
Costco Wholesale Corporation
Credential
Provider Entity Type
Organization
Address
520 N Lone Hill Ave, San Dimas, CA, 98124-1300
Phone Number
909-962-5516
Fax Number
909-962-5513
Provider Enumeration Date
03/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5629918 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
520 N Lone Hill Ave
City
San Dimas
State
California
Zip
91773
Phone Number
909-962-5516
Fax Number
909-962-5513
person
Provider Business Mailing Address Details
Address
520 N Lone Hill Ave
City
San Dimas
State
California
Zip
91773
Phone Number
909-962-5516
Fax Number
909-962-5513
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHY48887 (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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